MISC

本文へのリンクあり
2022年2月

Association between Endometriosis and Delivery Outcomes: A Systematic Review and Meta-Analysis

Biomedicines
  • Yoshikazu Nagase
  • ,
  • Shinya Matsuzaki
  • ,
  • Yutaka Ueda
  • ,
  • Mamoru Kakuda
  • ,
  • Sahori Kakuda
  • ,
  • Hitomi Sakaguchi
  • ,
  • Michihide Maeda
  • ,
  • Tsuyoshi Hisa
  • ,
  • Shoji Kamiura

10
2
記述言語
掲載種別
書評論文,書評,文献紹介等
DOI
10.3390/biomedicines10020478

Endometriosis is a common benign gynecological disorder; however, delivery outcomes concerning pregnancies with endometriosis remain understudied. This study aimed to assess the effect of endometriosis on delivery outcomes, including the rate of instrumental delivery, cesarean delivery (CD), postpartum hemorrhage (PPH), and perioperative complications during CD. A systematic literature review was conducted using multiple computerized databases, and 28 studies met the inclusion criteria. Pooled analysis showed that histologically diagnosed endometriosis was associated with an increased rate of instrumental delivery (odds ratio [OR] 1.26, 95% confidence interval [CI] 1.02−1.56) and an increased risk of CD (adjusted OR 2.59, 95%CI 1.32−5.07). In our analysis, histologically diagnosed endometriosis was not associated with an increased rate of PPH; however, one retrospective study reported that endometriosis increased the rate of PPH during CD (adjusted OR 1.7, 95%CI 1.5−2.0). Two studies examined perioperative complications during CD, and women with deep endometriosis had a higher rate of bowel resection or bladder injury than those without endometriosis. Our findings suggest that endometriosis is a significant risk factor for instrumental delivery and CD and may be associated with a higher rate of PPH and intraoperative complications during CD.

リンク情報
DOI
https://doi.org/10.3390/biomedicines10020478
Scopus
https://www.scopus.com/inward/record.uri?partnerID=HzOxMe3b&scp=85124943920&origin=inward 本文へのリンクあり
Scopus Citedby
https://www.scopus.com/inward/citedby.uri?partnerID=HzOxMe3b&scp=85124943920&origin=inward
ID情報
  • DOI : 10.3390/biomedicines10020478
  • eISSN : 2227-9059
  • SCOPUS ID : 85124943920

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