Pregnancy outcome in women with peritoneal, ovarian and rectovaginal endometriosis: a retrospective cohort study
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Please cite this paper as: Vercellini P, Parazzini F, Pietropaolo G, Cipriani S, Frattaruolo M, Fedele L. Pregnancy outcome in women with peritoneal, ovarian and rectovaginal endometriosis: a retrospective cohort study. BJOG 2012;119:1538–1543. We retrospectively assessed pregnancy outcome in 419 women who achieved a first spontaneous singleton pregnancy after surgery for endometriosis. A miscarriage was observed in 87 of 419 women (20.8%) and an ectopic pregnancy in eight (1.9%). Among the remaining 324 women, 14 (4.3%) experienced gestational hypertension/pre‐eclampsia, 38 (11.7%) had a preterm delivery, five (1.5%) had placental abruption and 12 (3.7%) had placenta praevia. The incidence of placenta praevia was 7.6% in 150 women with rectovaginal lesions, 2.1% in 69 with ovarian endometriomas plus peritoneal implants, and 2.4% in 100 women with peritoneal implants only, whereas no case was observed in 100 women with ovarian endometriomas only.
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A recent retrospective study of pregnancy outcome in women with peritoneal, ovarian, and rectovaginal endometriosis found elevated levels of miscarriage, ectopic pregnancy, gestational hypertension/preeclampsia, preterm delivery, placental abruption, and placenta praevia.
“A recent retrospective study of pregnancy outcome in women with peritoneal, ovarian, and rectovaginal endometriosis found elevated levels of miscarriage, ectopic pregnancy, gestational hypertension/preeclampsia, preterm delivery, placental abruption, and placenta praevia.39,40”
From Defining Future Directions for Endometriosis Research: Workshop Report From the 2011 World Congress of Endometriosis in Montpellier, France (2013) · cites this paper as [39]
Retrospective studies have suggested that women with endometriosis may have higher rates of maternal complications and fetal problems such as preeclampsia and miscarriage, though these associations need further study.
“Retrospective studies have suggested that women with endometriosis may have higher rates of maternal complications and fetal problems such as preeclampsia and miscarriage (46–50), though these associations need further study.”
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- Authors
- Vercellini, P., Parazzini, F., Pietropaolo, G., Cipriani, S., Frattaruolo, M., & Fedele, L.
- Affiliations
- University of Milan (IT)
- Corresponding author
- Vercellini, P
- Venue
- BJOG: An International Journal of Obstetrics & Gynaecology
- Publisher
- Wiley
- Published
- 2012-08-20
- Volume
- 119
- Issue
- 12
- Pages
- 1538-1543
- ISSN
- 0306-5456 (ISSN-L)
- 1470-0328
- 1471-0528
- OpenAlex
- W1493411262
- Cited by
- 134
- References
- 10
- Citations by year
- 2026: 3 · 2025: 7 · 2024: 6 · 2023: 3 · 2022: 15 · 2021: 19 · 2020: 16 · 2019: 3 · 2018: 7 · 2017: 14 · 2016: 15 · 2015: 12 · 2014: 10 · 2013: 3 · 2012: 1
- FWCI
- 9.69
- Type
- journal article
- Language
- en
- Open access
- bronze
- doi.org
- Locations
- BJOG An International Journal of Obstetrics & Gynaecology (publishedVersion)
- PubMed (publishedVersion)
- Funders
- Università degli Studi di Milano
- Topics
- Health Sciences › Medicine › Reproductive Medicine › Endometriosis Research and Treatment
- Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Ectopic Pregnancy Diagnosis and Management
- Life Sciences › Immunology and Microbiology › Immunology › Reproductive System and Pregnancy
- Keywords
- endometriosis, pregnancy outcomes, peritoneal endometriosis, endometrioma, rectovaginal endometriosis, miscarriage, ectopic pregnancy, preterm birth, placenta previa, gestational hypertension, preeclampsia, placental abruption, endometriosis surgery
- MeSH terms
- Adult, Endometriosis, Female, Follow-Up Studies, Humans, Ovarian Neoplasms, Peritoneal Neoplasms, Laparoscopy, Placenta Previa, Pregnancy, Pregnancy Complications, Pregnancy Outcome, Rectal Neoplasms, Retrospective Studies, Vaginal Neoplasms, Cohort Studies, Incidence
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