Women with endometriosis have higher odds of postpartum hemorrhage: Study
Endometriosis is a common gynecological condition and is estimated to affect between 6% and 10% of women of reproductive age. The prevalence of deep and ovarian endometriosis in pregnancy is approximately 5%, which is similar to that of women attending a general gynecology clinic (6%), and approximately 50% of women are unaware that they have this condition. There is no consensus regarding specialist care for women with a diagnosis of endometriosis during pregnancy; however, recent data suggest that endometriosis may increase the risk of adverse obstetric and neonatal outcomes, including preterm birth. Preterm birth, defined as birth at <37 ± 0 weeks of gestation, accounts for 7.4% of all live births in England and Wales. It is the most important single determinant of adverse infant outcomes in terms of both survival and quality of life and is the leading cause of perinatal death and disability.
There is an urgent need for high-quality prospective observational data to better define the obstetric risks for women with endometriosis. The aim of this study by Elisabeth M. R. Bean et al was to prospectively evaluate the relationship between pelvic endometriosis and obstetric and neonatal outcomes in pregnant women who underwent screening for endometriosis early in pregnancy.
This was a single-center, prospective cohort study of women presenting to the Early Pregnancy Unit at University College London Hospital (UCLH) between October 2017 and November 2019. Women were divided into ‘‘endometriosis’’ or ‘‘no endometriosis’’ groups, depending on whether they had a diagnosis of pelvic endometriosis. Women with a live pregnancy progressing beyond 12 weeks’ gestation who booked for antenatal care at University College London Hospital were included in the study.
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