title: Delivery after Operation for Deeply Infiltrating Endometriosis.
abstract: Background. It has been suggested that, during pregnancy, endometriosis can cause a variety of disease-related complications. Objectives. The purpose of the study was to find out if women with histologically confirmed endometriosis do have a higher risk of adverse pregnancy outcome and if they suffer from a higher rate of complications during labor. Study Design. 51 women who underwent surgery because of deeply infiltrating endometriosis in the General Hospital Linz and the Women's General Hospital Linz and who gave birth in the Women's General Hospital Linz after the surgery were included in our survey. Results. 31 women (60.8%) had a spontaneous delivery and in 20 women (39.2%) a caesarean section was performed. There were no cases of third- and fourth-degree perineal lacerations. Collectively there were 4 cases (7.8%) of preterm delivery and one case (2.0%) of premature rupture of membranes. In two women (6.5%) a retained placenta was diagnosed. Conclusions. Our study is the first description on delivery modes after surgery for deeply infiltrating endometriosis. We did not find an elevated risk for perineal or vaginal laceration in women with a history of surgery for deeply infiltrating endometriosis, even when a resection of the rectum or of the posterior vaginal wall had been performed.
authors: Department of Obstetrics and Gynecology, Kepler University Clinic, Campus IV, Krankenhausstrasse 26-30, 4020 Linz, Austria.
authors: Christina
authors: C
authors: Allerstorfer
authors: Department of Obstetrics and Gynecology, Kepler University Clinic, Campus IV, Krankenhausstrasse 26-30, 4020 Linz, Austria.
authors: Peter
authors: 0000-0001-6685-1762
authors: P
authors: Oppelt
authors: Department of Obstetrics and Gynecology, Kepler University Clinic, Campus IV, Krankenhausstrasse 26-30, 4020 Linz, Austria.
authors: Simon H
authors: SH
authors: Enzelsberger
authors: Second Surgical Department, Ludwig Boltzmann Institute for Surgical Laparoscopy, Kepler University Clinic, Campus III, Krankenhausstrasse 9, 4020 Linz, Austria.
authors: Andreas
authors: 0000-0002-6068-0824
authors: A
authors: Shamiyeh
authors: Department of Applied Systems Research and Statistics, Johannes Kepler University, 4040 Linz, Austria.
authors: Wolfgang
authors: 0000-0003-0893-066X
authors: W
authors: Schimetta
authors: Department of Obstetrics and Gynecology, Kepler University Clinic, Campus IV, Krankenhausstrasse 26-30, 4020 Linz, Austria.
authors: Omar Josef
authors: OJ
authors: Shebl
authors: Department of Obstetrics and Gynecology, Kepler University Clinic, Campus IV, Krankenhausstrasse 26-30, 4020 Linz, Austria.
authors: Richard Bernhard
authors: RB
authors: Mayer
mesh_terms: D000328:Adult; D002585:Cesarean Section; D036861:Delivery, Obstetric / Q000379:methods*; D004715:Endometriosis / Q000150:complications / Q000601:surgery*; D005260:Female; D005312:Fetal Blood / Q000166:cytology; D006801:Humans; D006863:Hydrogen-Ion Concentration; D007231:Infant, Newborn; D010502:Perineum / Q000503:physiopathology; D011183:Postoperative Complications; D011247:Pregnancy; D011248:Pregnancy Complications; D011256:Pregnancy Outcome; D012307:Risk Factors; D014621:Vagina / Q000503:physiopathology