Pregnancy Complications in Women with PCOS: A Meta-Analysis

K. Tanvir, Mohammad Lutfor Rahman
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Abstract

Polycystic ovary syndrome (PCOS) is a hormonal disorder which affects women in their reproductive ages. There might have association between maternal and neonatal complications with PCOS. The goal of this study is to look for the association between polycystic ovary syndromes (PCOS) and obstetric complications through meta-analysis on the basis of previously published studies from 2000 to 2019. In the current endeavour 17 studies involving 1975 women with PCOS and 10812 controls were selected for pooling. During pregnancy period women who have PCOS showed a significantly higher risk of developing gestational diabetes mellitus (GDM) (RR 2.51; 95% CI: 1.71-3.65), pregnancy induced hypertension (PIH) (RR 2.76; 95% CI: 2.04-3.72), preeclampsia (RR 2.14; 95% CI: 1.34-3.40), preterm birth (RR 1.41; 95% CI: 1.08-1.85) compared to controls. Neonatal birth weight is significantly lower (SMD -0.18; 95% CI: -0.33 to -0.03) compared to controls. It is concluded that women who have PCOS have greater chance of having pregnancy complications as well as risk of neonatal complications such as having low birth weight. Dhaka Univ. J. Sci. 69(2): 82-87, 2021 (July)
多囊卵巢综合征妇女妊娠并发症:一项荟萃分析
多囊卵巢综合征(PCOS)是一种影响育龄妇女的荷尔蒙失调。多囊卵巢综合征可能与产妇和新生儿并发症有关。本研究的目的是通过荟萃分析,在2000年至2019年之前发表的研究的基础上,寻找多囊卵巢综合征(PCOS)与产科并发症之间的关系。在目前的努力中,17项研究涉及1975名多囊卵巢综合征妇女和10812名对照。妊娠期多囊卵巢综合征患者发生妊娠期糖尿病(GDM)的风险显著增高(RR 2.51;95% CI: 1.71-3.65)、妊高征(PIH) (RR 2.76;95% CI: 2.04-3.72),先兆子痫(RR 2.14;95% CI: 1.34-3.40),早产(RR 1.41;95% CI: 1.08-1.85)。新生儿出生体重显著降低(SMD -0.18;95% CI: -0.33至-0.03)。结论是,患有多囊卵巢综合征的妇女有更大的机会出现妊娠并发症以及新生儿并发症的风险,如低出生体重。达卡大学学报(自然科学版)69(2):82- 87,2021 (7)
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