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[Endometriosis and miscarriage: Systematic review].

Authors
  • Minebois, H1
  • De Souza, A2
  • Mezan de Malartic, C3
  • Agopiantz, M4
  • Guillet May, F5
  • Morel, O6
  • Callec, R7
  • 1 Maternité régionale universitaire, centre hospitalier universitaire de Nancy, rue Heydenreich, 54000 Nancy, France. Electronic address: [email protected] , (France)
  • 2 Maternité régionale universitaire, centre hospitalier universitaire de Nancy, rue Heydenreich, 54000 Nancy, France. Electronic address: [email protected] , (France)
  • 3 Maternité régionale universitaire, centre hospitalier universitaire de Nancy, rue Heydenreich, 54000 Nancy, France. Electronic address: [email protected] , (France)
  • 4 Maternité régionale universitaire, centre hospitalier universitaire de Nancy, rue Heydenreich, 54000 Nancy, France. Electronic address: [email protected] , (France)
  • 5 Maternité régionale universitaire, centre hospitalier universitaire de Nancy, rue Heydenreich, 54000 Nancy, France. Electronic address: [email protected] , (France)
  • 6 Maternité régionale universitaire, centre hospitalier universitaire de Nancy, rue Heydenreich, 54000 Nancy, France. Electronic address: [email protected] , (France)
  • 7 Maternité régionale universitaire, centre hospitalier universitaire de Nancy, rue Heydenreich, 54000 Nancy, France. Electronic address: [email protected] , (France)
Type
Published Article
Journal
Gynecologie, obstetrique, fertilite & senologie
Publication Date
Jan 01, 2017
Volume
45
Issue
7-8
Pages
393–399
Identifiers
DOI: 10.1016/j.gofs.2017.06.003
PMID: 28712793
Source
Medline
Keywords
Language
French
License
Unknown

Abstract

In spontaneous pregnancies, endometriosis appears to be a risk factor of miscarriage. The aim of this study is to evaluate the association between endometriosis and miscarriage in spontaneous pregnancy. We searched the Cochrane Library, Medline of eligible studies from inception to December 2016, without any restriction. We selected studies that compared endometriosis-affected pregnant women to disease-free pregnant women. To ensure the quality of the methodology, the PRISMA criteria have been met at all stages of the development of this meta-analysis. The primary adverse pregnancy outcomes studied was miscarriage. Three reviewers independently extracted the studies' characteristics and outcome data. Of 225 identified abstracts, 4 primary studies met our inclusion criteria by comparing spontaneous pregnant patients with endometriosis to disease-free women. Miscarriage rate was higher in the endometriosis group (OR 1.77 [CI 95% 1.13-2.78]). In spontaneous pregnancies, endometriosis appears to be a risk factor of miscarriages (almost 80% increased risk). Further prospective studies are needed to confirm these results in order to establish the exact impact of endometriosis on spontaneous pregnancy course. Copyright © 2017 Elsevier Masson SAS. All rights reserved.

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