RESEARCH PAPER
Rate of caesarean sections is higher in endometriosis patients – experience of single tertiary obstetric clinic in the light of epidemiologic data
1
Clinic of Surgical and Oncologic Gynecology, 1st Department of Gynaecology and Obstetrics, Medical University of Łódż, M. Pirogow’s Teaching Hospital, Poland
2
Clinic of Foetal Medicine and Gynecology, 1st Department of Gynaecology and Obstetrics, Medical University of Łódż, M. Pirogow’s Teaching Hospital, Poland
3
Student Scientific Society, 1st Department of Gynaecology and Obstetrics, Medical University, Łódż, Poland
Corresponding author
Susan Afshari-Stasiak
Clinic of Surgical and Oncologic Gynecology, 1st Department of Gynecology and Obstetrics, Medical University of Lodz, M. Pirogow’s Teaching Hospital, Wilenska 37, 94-029, Lodz, Poland
Clinic of Surgical and Oncologic Gynecology, 1st Department of Gynecology and Obstetrics, Medical University of Lodz, M. Pirogow’s Teaching Hospital, Wilenska 37, 94-029, Lodz, Poland
J Pre Clin Clin Res. 2023;17(2):56-61
KEYWORDS
TOPICS
ABSTRACT
Introduction and objective:
Endometriosis is defined as the presence of endometrium-like tissue outside the uterine cavity which can cause chronic pelvic pain, dysmenorrhea, infertility, and obstetric complications. The study was undertaken to elucidate the influence of endometriosis on conception, pregnancy and course of Latour, as well as outcomes for the growth of the foetus.
Material and methods:
A single centre study was undertaken of endometriosis patients who were followed-up for five years after laparoscopy. The study group consisted of 30 patients with endometriosis who conceived, of whom 120 underwent laparoskopy. The control group consisted of 30 healthy women who delivered children and were hospitalized in a two-month period in 2015. Each patient completed a questionnaire regarding endometriosis symptoms, infertility duration, gravidity, smoking habits, education, metod of conception, incidence of pre-term labour, foetal growth restriction (FGR), small for gestational age (SGA) and pregnancy-induced hypertension (PIH). Analysis of the data was carried out using STATISTICA v.10.
Results:
A significant difference was observed in maternal age (34.7 ±4.7 for the study group vs. 29.8±4.9 years for the control group; p=0.001). In the study group, an increased incidence of caesarean section was noted (OR 4.9; 95% CI 1.61–15.07). No significant differences were observed in the incidence of preterm labour, FGR, SGA and PIH.
Conclusions:
Delivering child at older age was observed in the endometriosis group, compared with controls, which suggests that endometriosis extends the time to conceiving. Higher maternal age at delivery and prolonged time to pregnancy may be the factors that influence the rate of caesarean section in endometriosis patients.
Endometriosis is defined as the presence of endometrium-like tissue outside the uterine cavity which can cause chronic pelvic pain, dysmenorrhea, infertility, and obstetric complications. The study was undertaken to elucidate the influence of endometriosis on conception, pregnancy and course of Latour, as well as outcomes for the growth of the foetus.
Material and methods:
A single centre study was undertaken of endometriosis patients who were followed-up for five years after laparoscopy. The study group consisted of 30 patients with endometriosis who conceived, of whom 120 underwent laparoskopy. The control group consisted of 30 healthy women who delivered children and were hospitalized in a two-month period in 2015. Each patient completed a questionnaire regarding endometriosis symptoms, infertility duration, gravidity, smoking habits, education, metod of conception, incidence of pre-term labour, foetal growth restriction (FGR), small for gestational age (SGA) and pregnancy-induced hypertension (PIH). Analysis of the data was carried out using STATISTICA v.10.
Results:
A significant difference was observed in maternal age (34.7 ±4.7 for the study group vs. 29.8±4.9 years for the control group; p=0.001). In the study group, an increased incidence of caesarean section was noted (OR 4.9; 95% CI 1.61–15.07). No significant differences were observed in the incidence of preterm labour, FGR, SGA and PIH.
Conclusions:
Delivering child at older age was observed in the endometriosis group, compared with controls, which suggests that endometriosis extends the time to conceiving. Higher maternal age at delivery and prolonged time to pregnancy may be the factors that influence the rate of caesarean section in endometriosis patients.
ACKNOWLEDGEMENTS
The authoirs extend their special thanks to dr Tomasz Wierzbowski who performed laparoscopies in ednometriosis patients in 2010–2011.
Afshari-Stasiak S, Andrysiewicz S, Andrysiewicz A, Bamberska J, Szubert M. Rate of cesarean sections is higher in endometriosis patients –
experience of single tertiary obstetric clinic in the light of epidemiologic data. J Pre-Clin Clin Res. 2023; 17(2): 56–61. doi: 10.26444/jpccr/163481
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