Identification of Common Adverse Outcomes of Pregnancies Diagnosed with Endometriosis: Review of Past Studies

Abstract

Endometriosis is a progressive stirring disease marked by the appearance of endometrial glands and stroma exterior of the uterus. It affects 8%–10% of reproductive-age women and is linked to developing primary or secondary infertility in 30% of these women. The main objective of this systematic review was to critically analyse the current related literature to explore the maternal and neonatal adverse outcomes of pregnancies diagnosed with endometriosis. Pregnant women with endometriosis are more likely to develop negative pregnancy outcomes and complicated neonatal outcomes, and therefore they may benefit from extra screening and early detection. Therefore, eight studies are critically analysed in terms of study design, sample size, sample type, exclusive criteria, comprehensive criteria, data analysis, and key findings based on data availability to identify common adverse outcomes of pregnancies with endometriosis. After critically analysing the eight studies, authors explored that pregnant women diagnosed with endometriosis are at elevated risk to develop Placenta previa, hypertensive disorders, postpartum hemorrhage, emergency caesareans and preeclampsia as common maternal outcomes and premature birth, Low birth weight and stillbirth as common neonatal outcomes. In conclusion, women with endometriosis are at elevated risk of developing adverse maternal and neonatal outcomes in their pregnancies.