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A meta-analysis of pregnancy outcomes in women with polycystic ovary syndrome
Abstract
Polycystic ovary syndrome (PCOS) is a common reproductive disorder associated with many characteristic features, including hyperandrogenaemia, insulin resistance and obesity which may have significant implications for pregnancy outcomes and long-term health of the woman. This meta-analysis was conducted to evaluate the risk of pregnancy and neonatal complications in women with PCOS. Electronic databases were searched for the following MeSH headings: PCOS, hyperandrogenism, pregnancy outcome, pregnancy complications, diabetes mellitus, type II. A handsearch of human reproduction and fertility and sterility was also conducted. Studies in which pregnancy outcomes in women with PCOS were compared with controls were considered for inclusion in this meta-analysis. Fifteen of 525 identified studies were included, involving 720 women presenting with PCOS and 4505 controls. Women with PCOS demonstrated a significantly higher risk of developing gestational diabetes [odds ratio (OR) 2.94; 95% confidence interval (CI): 1.70–5.08], pregnancy-induced hypertension (OR 3.67; 95% CI: 1.98–6.81), pre-eclampsia (OR 3.47; 95% CI: 1.95–6.17) and preterm birth (OR 1.75; 95% CI: 1.16–2.62). Their babies had a significantly higher risk of admission to a neonatal intensive care unit (OR 2.31; 95% CI: 1.25–4.26) and a higher perinatal mortality (OR 3.07; 95% CI: 1.03–9.21), unrelated to multiple births. In conclusion, women with PCOS are at increased risk of pregnancy and neonatal complications. Pre-pregnancy, antenatal and intrapartum care should be aimed at reducing these risks.
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In the citing paper
“PCOS is associated with a higher incidence of fertility assistance and complications of pregnancy, including gestational hypertension and diabetes.12,17,18,21, 22, 23, 24”
From Increased Prevalence of Adverse Health Outcomes Across the Lifespan in Those Affected by Polycystic Ovary Syndrome: A Canadian Population Cohort (2024) · cites this paper as [24]
In the citing paper
“Women with PCOS have 2.8 to 4.3 times the risk of developing GDM during pregnancy, compared to women without PCOS [53–55].”
From From Prediabetes to Type 2 Diabetes Mellitus in Women with Polycystic Ovary Syndrome: Lifestyle and Pharmacological Management (2020) · cites this paper as [53]
In the citing paper
“Women with PCOS present with psychological, 5,23 reproductive 24 and metabolic implications.”
From Assessment and management of polycystic ovary syndrome: Summary of an evidence-based guideline (2011) · cites this paper as [24]
In the citing paper
“Women with PCOS have increased Finnish Diabetes Risk Scores as well as increased risk of gestational diabetes, 24 prediabetes and DM2 11,103 - independent of, but exacerbated by, obesity.”
From Assessment and management of polycystic ovary syndrome: Summary of an evidence-based guideline (2011) · cites this paper as [24]
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Metadata
- Authors
- Boomsma, C. M., Eijkemans, M. J. C., Hughes, E. G., Visser, G. H. A., Fauser, B. C. J. M., & Macklon, N. S.
- Affiliations
- University Medical Center Utrecht (NL)
- Erasmus University Rotterdam (NL)
- McMaster University (CA)
- Utrecht University (NL)
- Corresponding author
- Boomsma, C.M.
- Venue
- Human Reproduction Update
- Publisher
- Oxford University Press (OUP)
- Published
- 2006-08-04
- Volume
- 12
- Issue
- 6
- Pages
- 673-683
- ISSN
- 1355-4786 (ISSN-L)
- 1460-2369
- OpenAlex
- W2101687529
- Cited by
- 852
- References
- 42
- Citations by year
- 2026: 26 · 2025: 29 · 2024: 58 · 2023: 55 · 2022: 59 · 2021: 37 · 2020: 53 · 2019: 52 · 2018: 38 · 2017: 44 · 2016: 40 · 2015: 51 · 2014: 61 · 2013: 41 · 2012: 39
- FWCI
- 4.80
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Human Reproduction Update (publishedVersion)
- PubMed (publishedVersion)
- EUR Research Repository (Erasmus University Rotterdam) (submittedVersion)
- ePrints Soton (University of Southampton) (submittedVersion)
- Topics
- Health Sciences › Medicine › Reproductive Medicine › Ovarian function and disorders
- Health Sciences › Medicine › Obstetrics and Gynecology › Gestational Diabetes Research and Management
- Health Sciences › Medicine › Pediatrics, Perinatology and Child Health › Assisted Reproductive Technology and Twin Pregnancy
- Keywords
- polycystic ovary syndrome, pregnancy outcomes, gestational diabetes mellitus, gestational hypertension, preeclampsia, preterm birth, neonatal intensive care admission, perinatal mortality, hyperandrogenemia, insulin resistance, obesity
- MeSH terms
- Birth Weight, Cesarean Section, Female, Humans, Infant Mortality, Infant, Newborn, Infertility, Female, Polycystic Ovary Syndrome, Pre-Eclampsia, Pregnancy, Pregnancy Complications, Pregnancy Outcome, Diabetes, Gestational, Hypertension, Pregnancy-Induced, Premature Birth
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