Do Women with Rectovaginal Endometriosis Have Excess Risk for Placenta Previa?

A retrospective study indicates this may be so, but the underlying mechanism remains unknown.

Because previous studies have suggested that women with endometriosis are at higher obstetric risk than women in the general population, investigators conducted a study of first spontaneous, singleton pregnancies occurring in women who were nulligravid before they underwent surgery for endometriosis. Cases at a single Italian hospital were analyzed retrospectively for several obstetric outcomes. Of the 419 women who were fully assessed, 150 had rectovaginal endometriosis, 100 had ovarian endometriomas only, 100 had peritoneal endometriosis only, and 69 had ovarian endometriomas plus peritoneal lesions. Endometriosis surgery was performed only with mechanical instruments or electrosurgery.

Rates of ectopic pregnancy, gestational hypertension,…

Reviewing Author

Robert W. Rebar, MD

Disclosures

Consultant/Advisory BoardMyovant Sciences, Inc.

Editorial BoardsEndoText; Clinical OB/GYN Alert

Leadership Positions in Professional SocietiesAmerican Society for Reproductive Medicine (Member, Ethics Committee)

Robert W. Rebar, MD

Disclosures

Consultant/Advisory BoardMyovant Sciences, Inc.

Editorial BoardsEndoText; Clinical OB/GYN Alert

Leadership Positions in Professional SocietiesAmerican Society for Reproductive Medicine (Member, Ethics Committee)

Do Women with Rectovaginal Endometriosis Have Excess Risk for Placenta Previa?

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Reviewing Author