Influence of adenomyosis on pregnancy and perinatal outcomes in women with endometriosis

Scala, Carolina; Maggiore, Umberto Leone Roberti; Racca, A.; Barra, Fabio; Vellone, Valerio Gaetano; Venturini, P. L.; Ferrero, Simone

doi:10.1002/uog.18989

Cited by 47 publications

(38 citation statements)

References 36 publications

(67 reference statements)

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“…Newly released research has found that women with endometriosis have an inclined tendency to have pregnancy complications, which include miscarriage as well as ectopic pregnancy. 4 Furthermore, according to the literature, women, who suffer from endometriosis would face with a higher tendency of preterm birth, [5][6][7][8] even though conflicting results exist. 9,10 IVF is considered as a common method in dealing with maternal endometriosis-related infertility.…”

Section: Introductionmentioning

confidence: 99%

<p>Live-Birth Outcomes and Congenital Malformations After Progestin-Primed Ovarian Stimulation in Maternal Endometriosis</p>

Zhou¹,

Wang²,

Kuang³

2020

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Section: Introductionmentioning

confidence: 99%

<p>Live-Birth Outcomes and Congenital Malformations After Progestin-Primed Ovarian Stimulation in Maternal Endometriosis</p>

Zhou¹,

Wang²,

Kuang³

2020

DDDT

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“…Recently, our academic group demonstrated that the presence of diffuse adenomyosis in pregnant women affected by endometriosis is strongly associated with SGA infants, thus suggesting a causative relationship between diffuse adenomyosis and placental dysfunction [18].…”

Section: Discussionmentioning

confidence: 99%

“…Our academic group recently demonstrated that the presence of diffuse adenomyosis in women with endometriosis was more strongly associated with impaired placentation and delivery of SGA infants in comparison to patients with only endometriosis and with focal adenomyosis and concomitant endometriosis [18]; notably, these data may suggest a potential major role of adenomyosis in enhancing the risk of having these obstetrics adverse outcomes.…”

Section: Introductionmentioning

confidence: 99%

Impact of Endometriomas and Deep Infiltrating Endometriosis on Pregnancy Outcomes and on First and Second Trimester Markers of Impaired Placentation

et al. 2019

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Background and objective: Previous studies did not draw a definitive conclusion about the influence of the role of deep endometriosis (DE) and ovarian endometrioma (OE) as risk factor for developing adverse perinatal outcomes in patients affected by endometriosis. This study aimed to investigate if adverse fetal and maternal outcomes, and in particular the incidence of small for gestational age (SGA) infants, are different in pregnant women with OE versus pregnant women with DE without OE. Material and methods: This study was based on a retrospective analysis of a database collected prospectively. The population included in the study was divided into three groups: patients with OE, patients with DE without concomitant OE, and patients without endometriosis (controls). The controls were matched on the basis of age and parity. Demographic data at baseline and pregnancy outcomes were recorded. Results: There was no statistically significant difference in first trimester levels of PAPP-A, first and mid-pregnancy trimester mean Uterine Artery Doppler pulsatile index, estimated fetal weight centile, and SGA fetuses’ prevalence for patients with OE, and those with DE without OE in comparison to health women; moreover, there was no statistically significant difference with regard to SGA birth prevalence, prevalence of preeclampsia, and five-minute Apgar score between these three groups. Conclusions: The specific presence of OE or DE in pregnant women does not seem to be associated with an increased risk of delivering an SGA infant. These data seem to suggest that patients with endometriosis should be treated in pregnancy as the general population, thus not needing a closer monitoring.

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“…The atypical presentation of endometrial tissue induces oxidative stress, chronic inflammation, uterine abnormal peristaltic motility, and disturbed sperm transport 1,2 . Therefore, abnormal implantation, decidualization, and placentation in adenomyosis have a negative impact on fetal well-being and further consequences, according to Barker hypothesis 3,4 .…”

Section: Introductionmentioning

confidence: 99%

Hiding in plain sight or going beyond the duodenal papilla: a case series

Opriță

Constantinescu

Berea

et al. 2021

Arch Balk Med Union

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Grossesse spontanée, macrosomie et disproportion céphalopelvienne dans l'adénomyose diffuse: rapport de casIntroduction. L'adénomyose augmente les complications obstétricales et périnatales. Présentation du cas. Nous présentons un cas rare de grossesse spontanée, de gros foetus et de disproportion céphalopelvienne chez une femme atteinte d'adénomyose diffuse. Aucun marqueur biophysique ou biochimique d'échec de la placentation n'a été détecté pendant la grossesse. Cependant, l'accouchement a été compliqué par une disproportion céphalopelvienne. Un bébé mâle de 4350 g de poids, 59 cm de longueur, avec un tour de tête de 38 cm et un score d'Apgar de 8 à 9 a été né par césarienne. La conception spontanée et l'absence d'insuffisance placentaire chronique étaient des présentations inhabituelles dans ce cas. Conclusions. Le fait d'une dilatation cervicale complète et d'une disproportion céphalopelvienne dans l'adénomyose diffuse est d'un grand intérêt. Le cas clinique présenté est un motif pour la poursuite des études dans le domaine de l'évolution foetale et de l'activité contractile utérine dans l'adénomyose.

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Influence of adenomyosis on pregnancy and perinatal outcomes in women with endometriosis

Cited by 47 publications

References 36 publications

<p>Live-Birth Outcomes and Congenital Malformations After Progestin-Primed Ovarian Stimulation in Maternal Endometriosis</p>

<p>Live-Birth Outcomes and Congenital Malformations After Progestin-Primed Ovarian Stimulation in Maternal Endometriosis</p>

Impact of Endometriomas and Deep Infiltrating Endometriosis on Pregnancy Outcomes and on First and Second Trimester Markers of Impaired Placentation

Hiding in plain sight or going beyond the duodenal papilla: a case series

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