Endometriosis and adenomyosis are associated with increased risk of preterm delivery and a small-for-gestational-age child: a systematic review and meta-analysis

Acta Obstetricia Et Gynecologica Scandinavica
Mette R BruunCecilia H Ramlau-Hansen

Abstract

The objective of this systematic review and meta-analysis was to evaluate the risk of preterm delivery and having a small-for-gestational-age (SGA) child in women with endometriosis and adenomyosis compared with women without these two diseases. Studies on endometriosis or adenomyosis and risk of preterm delivery and/or SGA infant were included. The systematic search was conducted for all published articles in PubMed and Embase published from 1950 to 2017 using specific search terms. After duplicates were removed, two authors independently reviewed all studies, initially based on title and subsequently based on abstract. Studies considered relevant were read in full text by both reviewers to identify if studies met the inclusion criteria. The search found 21 studies on a total of 2 517 516 women meeting the inclusion criteria. Women with endometriosis had an increased odds of preterm delivery [odds ratio (OR) 1.47, 95% CI 1.28-1.69] and SGA infant (OR 1.26, 95% CI 1.04-1.549). Compared with endometriosis, adenomyosis implied an even higher odds of both preterm delivery (OR 3.09, 95% CI 1.88-5.09) and SGA infant (OR 3.23, 95% CI 1.71-6.09) as well. Women with endometriosis or adenomyosis had a higher odds of preterm delivery and...Continue Reading

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Citations

Feb 13, 2020·Reproductive Sciences·Hiroshi KobayashiChiharu Yoshimoto
Oct 24, 2019·BMC Pregnancy and Childbirth·Mayo MiuraTomomi Kotani
Jan 16, 2020·International Journal of Environmental Research and Public Health·Maria Grazia PorporaPierluigi Benedetti Panici
Oct 21, 2020·Seminars in Reproductive Medicine·Maria Facadio AnteroIe-Ming Shih
Feb 13, 2021·Journal of Clinical Medicine·Kjerstine BreintoftLinn Håkonsen Arendt
Apr 25, 2020·Fertility and Sterility·Marilena FarellaHorace Roman
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Mar 9, 2021·Acta Obstetricia Et Gynecologica Scandinavica·Connie O ReesBenedictus C Schoot
Apr 24, 2021·Journal of Obstetrics and Gynaecology : the Journal of the Institute of Obstetrics and Gynaecology·Mi Sun KimSang Hee Jung
Aug 25, 2021·Reproductive Sciences·Giovana Afférri BonuccelliRaquel Domingues da Silva Ferreira

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