Pregnancy and delivery complications in endometriosis

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Abstract

The paper analyzes the data available in the literature on pregnancy and delivery complications in endometriosis. A high percentage of women with endometriosis experience infertility and have a higher risk of adverse pregnancy outcomes. Pregnant women with endometriosis are much more commonly noted to have placenta previa and placental abruption, preterm labor, to need a caesarean delivery, and to have gestational hypertension and preeclampsia, fetal death, and stillbirth. At the same time, the increased risk of pregnancy complications does not depend on the type of reproduction (spontaneous or using assisted reproductive technologies). The complicated course of pregnancy in women with endometriosis points to an interdisciplinary problem and justifies the need to follow up these patients in third-level healthcare facilities.

Conclusion: To prevent and minimize the risk of pregnancy complications, it is necessary to adhere to personalization tactics for both pregravid preparation and pregnancy management.

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About the authors

Mikhail A. Shchegolev

Saint Alexis, Metropolitan of Moscow, Central Clinical Hospital

Author for correspondence.
Email: ashegolev@oparina4.ru

Obstetrician-Gynecologist at the Gynecological Center, Surgical Department

Russian Federation, Moscow

Uliana N. Tumanova

Academician V.I. Kulakov National Medical Research Center of Obstetrics, Gynecology, and Perinatology, Ministry of Health of the Russian Federation

Email: u.n.tumanova@gmail.com
ORCID iD: 0000-0002-0924-6555

Dr. Med. Sci., Leading Researcher at the 2nd Pathology Department

Russian Federation, Moscow

Alexander I. Shchegolev

Academician V.I. Kulakov National Medical Research Center of Obstetrics, Gynecology, and Perinatology, Ministry of Health of the Russian Federation

Email: ashegolev@oparina4.ru
ORCID iD: 0000-0002-2111-1530

Dr. Med. Sci., Professor, Head of the 2nd Pathology Department

Russian Federation, Moscow

Elena G. Khilkevich

Academician V.I. Kulakov National Medical Research Center of Obstetrics, Gynecology, and Perinatology, Ministry of Health of the Russian Federation

Email: e_khilkevich@oparina4.ru
ORCID iD: 0000-0001-8826-8439

Dr. Med. Sci., Obstetrician-Gynecologist of the Surgery Department

Russian Federation, Moscow

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