Cited by 852Ovarian function and disordersGestational Diabetes Research and ManagementAssisted Reproductive Technology and Twin Pregnancy

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A meta-analysis of pregnancy outcomes in women with polycystic ovary syndrome

Boomsma, C.M., Eijkemans, M.J.C., Hughes, E.G., Visser, G.H.A., Fauser, B.C.J.M., Macklon, N.S.·2006·Human Reproduction Update

DOI 10.1093/humupd/dml036

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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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Shirke, P. S. P., Sayyad, N. F., Devade, O. A., Purane, L. M., & Redasani, V. K. (2025) · Asian Journal of Research in Pharmaceutical Sciences · doi:10.52711/2231-5659.2025.00038

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.
ORCID: Eijkemans, M.J.C.
Visser, G.H.A.
Fauser, B.C.J.M.
Macklon, N.S.
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
DOI: 10.1093/humupd/dml036
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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A meta-analysis of pregnancy outcomes in women with polycystic ovary syndrome

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