Obstetric outcomes in women with pelvic endometriosis: a prospective cohort study

To determine whether obstetric outcomes differ between women with endometriosis and those without, where all women undergo first-trimester screening for endometriosis. A prospective observational cohort study. The Early Pregnancy Unit at University College London Hospital, United Kingdom. Women with a live pregnancy progressing beyond 12 weeks’ gestation and concurrent endometriosis (n = 110) or no endometriosis (n = 393). All women underwent a pelvic ultrasound examination in early pregnancy to examine for the presence of endometriosis and uterine abnormalities. The primary outcome of interest was preterm birth, defined as delivery before 37 completed weeks’ gestation. Secondary outcomes included late miscarriage, antepartum hemorrhage, placental site disorders, gestational diabetes, hypertensive disorders of pregnancy, neonates small for gestational age, mode of delivery, intrapartum sepsis, postpartum hemorrhage, and admission to the neonatal unit. Women with a diagnosis of endometriosis did not have statistically significantly higher odds of preterm delivery (adjusted odds ratio [aOR] 1.85 [95% confidence interval {CI} 0.50–6.90]), but they did have higher odds of postpartum hemorrhage during cesarean section (aOR 3.64 [95% CI 2.07–6.35]) and admission of their newborn infant to the neonatal unit (aOR 3.24 [95% CI 1.08−9.73]). Women with persistent or recurrent deep endometriosis after surgery also had higher odds of placental site disorders (aOR 8.65 [95% CI 1.17–63.71]) and intrapartum sepsis (aOR 3.47 [95% CI 1.02–11.75]). We observed that women with endometriosis do not have higher odds of preterm delivery, irrespective of their disease subtype. However, they do have higher odds of postpartum hemorrhage during the cesarean section and newborn admission to the neonatal unit. Translated by Dr Patricia Diaz-Gimeno Resultados obstétricos en mujeres con endometriosis pélvica: un estudio prospectivo de cohortes Determinar si los resultados obstétricos entre las mujeres con endometriosis y las que no la tienen difieren, donde todas las mujeres se han sometido a pruebas de detección de endometriosis en el primer trimestre. Un estudio prospectivo observacional de cohortes. The Early Pregnancy Unit at University College London Hospital, Reino Unido. Mujeres con un embarazo que progresa más allá de las 12 semanas de gestación y endometriosis concurrente COINCIDENTE (n = 110) o sin endometriosis (n = 393). Todas las mujeres se sometieron a una ecografía pélvic