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Obstetrics and Gynegology2023№3
Pregnancy and delivery complications in...

Pregnancy and delivery complications in endometriosis

DOI
https://dx.doi.org/10.18565/aig.2022.322

Shchegolev M.A., Tumanova U.N., Shchegolev A.I., Khilkevich E.G.

1) Academician V.I. Kulakov National Medical Research Center of Obstetrics, Gynecology, and Perinatology, Ministry of Health of the Russian Federation, Moscow, Russia; 2) Saint Alexis, Metropolitan of Moscow, Central Clinical Hospital, Moscow, Russia
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.

Authors’ contributions: Shchegolev M.A., Tumanova U.N. – literature data search and analysis, writing the text; Shchegolev A.I. – literature data analysis, editing the text; Khilkevich E.G. – design of the investigation, editing the text.
Conflicts of interest: The authors declare that there are no conflicts of interest.
Funding: The investigation has not been sponsored.
For citation: Shchegolev M.A., Tumanova U.N., Shchegolev A.I., Khilkevich E.G.
Pregnancy and delivery complications in endometriosis.
Akusherstvo i Ginekologiya/Obstetrics and Gynecology. 2023; (3): 5-12 (in Russian)
https://dx.doi.org/10.18565/aig.2022.322

Keywords

endometriosis
adenomyosis
pregnancy complications
placenta
fetal death
delivery
Full text (in Russian)

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Received 30.12.2022

Accepted 20.02.2023

About the Authors

Mikhail A. Shchegolev, obstetrician-gynecologist at the gynecological center, Surgical Department, Central Clinical Hospital of St. Alexis,
119071, Russia, Moscow, Leninskiy Ave., 27.
Uliana N. Tumanova, Dr. Med. Sci., Leading Researcher at the 2nd Pathology Department, Academician V.I. Kulakov National Medical Research Center for Obstetrics, Gynecology and Perinatology, Ministry of Health of Russia, u.n.tumanova@gmail.com, https://orcid.org/0000-0002-0924-6555,
117997, Russia, Moscow, Oparina str., 4.
Alexander I. Shchegolev, Dr. Med. Sci., Professor, Head of the 2nd Pathology Department, Academician V.I. Kulakov National Medical Research Center for Obstetrics, Gynecology and Perinatology, Ministry of Health of Russia, ashegolev@oparina4.ru, https://orcid.org/0000-0002-2111-1530, 117997, Russia, Moscow, Oparina str., 4.
Elena G. Khilkevich, Dr. Med. Sci., obstetrician-gynecologist of the Surgery Department, Academician V.I. Kulakov National Medical Research Center for Obstetrics, Gynecology and Perinatology, Ministry of Health of Russia, +7(495)438-77-83, e_khilkevich@oparina4.ru, https://orcid.org/0000-0001-8826-8439,
117997, Russia, Moscow, Ac. Oparina str., 4.

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