Pregnancy outcome in women with peritoneal, ovarian and rectovaginal endometriosis: a retrospective cohort study.
We retrospectively assessed pregnancy outcome in 419 women who achieved a first spontaneous singleton pregnancy after surgery for endometriosis. A miscarriage was observed in 87 of 419 women (20.8%) and an ectopic pregnancy in eight (1.9%). Among the remaining 324 women, 14 (4.3%) experienced gestational hypertension/pre-eclampsia, 38 (11.7%) had a preterm delivery, five (1.5%) had placental abruption and 12 (3.7%) had placenta praevia. The incidence of placenta praevia was 7.6% in 150 women with rectovaginal lesions, 2.1% in 69 with ovarian endometriomas plus peritoneal implants, and 2.4% in 100 women with peritoneal implants only, whereas no case was observed in 100 women with ovarian endometriomas only.
Clinica Ostetrica e Ginecologica, Istituto Luigi Mangiagalli, Università Statale di Milano, and Fondazione IRCCS Ca Granda - Ospedale Maggiore Policlinico, Milan, Italy. paolo.vercellini@unimi.it
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Frattaruolo
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D000328:Adult; D015331:Cohort Studies; D004715:Endometriosis / Q000150:complications* / Q000601:surgery; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D015994:Incidence; D010535:Laparoscopy; D010051:Ovarian Neoplasms / Q000150:complications* / Q000601:surgery; D010534:Peritoneal Neoplasms / Q000150:complications* / Q000601:surgery; D010923:Placenta Previa / Q000453:epidemiology / Q000209:etiology; D011247:Pregnancy; D011248:Pregnancy Complications / Q000453:epidemiology / Q000209:etiology*; D011256:Pregnancy Outcome; D012004:Rectal Neoplasms / Q000150:complications* / Q000601:surgery; D012189:Retrospective Studies; D014625:Vaginal Neoplasms / Q000150:complications* / Q000601:surgery