Pregnancy outcome in women with peritoneal, ovarian and rectovaginal endometriosis: a retrospective cohort study

BJOG. 2012 Nov;119(12):1538-43. doi: 10.1111/j.1471-0528.2012.03466.x. Epub 2012 Aug 20.

Abstract

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.

Publication types

  • Research Support, Non-U.S. Gov't

MeSH terms

  • Adult
  • Cohort Studies
  • Endometriosis / complications*
  • Endometriosis / surgery
  • Female
  • Follow-Up Studies
  • Humans
  • Incidence
  • Laparoscopy
  • Ovarian Neoplasms / complications*
  • Ovarian Neoplasms / surgery
  • Peritoneal Neoplasms / complications*
  • Peritoneal Neoplasms / surgery
  • Placenta Previa / epidemiology
  • Placenta Previa / etiology
  • Pregnancy
  • Pregnancy Complications / epidemiology
  • Pregnancy Complications / etiology*
  • Pregnancy Outcome*
  • Rectal Neoplasms / complications*
  • Rectal Neoplasms / surgery
  • Retrospective Studies
  • Vaginal Neoplasms / complications*
  • Vaginal Neoplasms / surgery