Geburtshilfe Frauenheilkd 2018; 78(10): 242
DOI: 10.1055/s-0038-1671495
Poster
Freitag, 02.11.2018
Pränatal- und Geburtsmedizin VIII
Georg Thieme Verlag KG Stuttgart · New York

Delivery after operation for deeply infiltrating endometriosis

C Allerstorfer
1  Kepler Universitätsklinikum, Johannes Kepler Universität, Linz, Österreich
,
E Reiter
1  Kepler Universitätsklinikum, Johannes Kepler Universität, Linz, Österreich
,
RB Mayer
1  Kepler Universitätsklinikum, Johannes Kepler Universität, Linz, Österreich
,
O Shebl
1  Kepler Universitätsklinikum, Johannes Kepler Universität, Linz, Österreich
,
P Oppelt
1  Kepler Universitätsklinikum, Johannes Kepler Universität, Linz, Österreich
› Author Affiliations
Further Information

Publication History

Publication Date:
20 September 2018 (online)

 

Background:

It has been suggested that during pregnancy, endometriosis can cause a variety of disease-related complications.

The purpose of the study was to find out women if with histologically confirmed endometriosis do have a higher risk of adverse pregnancy outcome and if they suffer from a higher rate of complications during labor.

Methods:

51 women who underwent surgery because of deeply infiltrating endometriosis in the General Hospital Linz and the Women's General Hospital Linz and who gave birth in the Women's General Hospital Linz after the surgery were included in our survey.

Results:

31 women (60.8%) had a spontaneous delivery and in 20 women (39.2%) a caesarean section was performed. There were no cases of third- and fourth-degree perineal lacerations. In our collective there were 4 cases (7.8%) of preterm delivery and one case (2.0%) of premature rupture of membranes. In two women (6.5%) a retained placenta was diagnosed.

Conclusion:

Our study is the first description on delivery modes after surgery for deeply infiltrating endometriosis. We did not find an elevated risk for perineal or vaginal laceration in women with a history of surgery for deep infiltrating endometriosis, even when a resection of the rectum or of the posterior vaginal wall had been performed.