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Pregnancy outcomes after laparoscopic ovarian drilling in women with polycystic ovarian syndrome.
Saudi Med J 2006; 27(4):519-25SM

Abstract

OBJECTIVE

To study whether there is an increased risk of glucose intolerance and hypertensive complications during pregnancy in women with polycystic ovarian syndrome (PCOS) who conceived after laparoscopic ovarian drilling and to investigate if there is an adverse pregnancy outcome.

METHODS

This prospective study took place at Salmaniya Medical Complex in Bahrain, between June 1996 and June 2003. We compared the pregnancy and neonatal outcomes of 134 patients with PCOS who were treated with laparoscopic ovarian drilling with 479 pregnant women without PCOS (controls). We used the multiple logistic regression analysis to assess the risk of PCOS on impaired glucose tolerance (IGT), gestational diabetes mellitus (GDM), hypertensive disorders in pregnancy (HDP) and premature delivery.

RESULTS

Subjects with PCOS had a significantly greater prepregnancy body mass index, prevalence of obesity and nulliparity as compared with controls. The incidence of IGT (p=0.007), GDM (p=0.01) and HDP (p=0.001) were significantly higher in pregnant PCOS compared with the control group. There were no significant differences in the neonatal outcomes and prevalence of premature delivery between the 2 study groups. When non-obese PCOS patients were compared with non-obese controls, the incidence of GDM (p=0.04) and HDP (p=0.004) were still significantly higher in the former. The prevalence of pregnancy complications were not significantly different when obese PCOS were compared with obese control patients. The PCOS was demonstrated as a risk factor for IGT (p=0.05), GDM (p=0.03) and HDP (p=0.03), but not for premature delivery.

CONCLUSION

Women with PCOS who conceived after the drilling were at higher risk of IGT, GDM and HDP, and this risk seemed to be independent of maternal obesity.

Authors+Show Affiliations

Department of Obstetrics and Gynecology, Salmaniya Meidcal Complex, Ministry of Health, Kingdom of Bahrain. eftekharojaimi15@hotmail.com

Pub Type(s)

Journal Article

Language

eng

PubMed ID

16598331

Citation

Al-Ojaimi, Eftekhar H.. "Pregnancy Outcomes After Laparoscopic Ovarian Drilling in Women With Polycystic Ovarian Syndrome." Saudi Medical Journal, vol. 27, no. 4, 2006, pp. 519-25.
Al-Ojaimi EH. Pregnancy outcomes after laparoscopic ovarian drilling in women with polycystic ovarian syndrome. Saudi Med J. 2006;27(4):519-25.
Al-Ojaimi, E. H. (2006). Pregnancy outcomes after laparoscopic ovarian drilling in women with polycystic ovarian syndrome. Saudi Medical Journal, 27(4), pp. 519-25.
Al-Ojaimi EH. Pregnancy Outcomes After Laparoscopic Ovarian Drilling in Women With Polycystic Ovarian Syndrome. Saudi Med J. 2006;27(4):519-25. PubMed PMID: 16598331.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Pregnancy outcomes after laparoscopic ovarian drilling in women with polycystic ovarian syndrome. A1 - Al-Ojaimi,Eftekhar H, PY - 2006/4/7/pubmed PY - 2006/8/2/medline PY - 2006/4/7/entrez SP - 519 EP - 25 JF - Saudi medical journal JO - Saudi Med J VL - 27 IS - 4 N2 - OBJECTIVE: To study whether there is an increased risk of glucose intolerance and hypertensive complications during pregnancy in women with polycystic ovarian syndrome (PCOS) who conceived after laparoscopic ovarian drilling and to investigate if there is an adverse pregnancy outcome. METHODS: This prospective study took place at Salmaniya Medical Complex in Bahrain, between June 1996 and June 2003. We compared the pregnancy and neonatal outcomes of 134 patients with PCOS who were treated with laparoscopic ovarian drilling with 479 pregnant women without PCOS (controls). We used the multiple logistic regression analysis to assess the risk of PCOS on impaired glucose tolerance (IGT), gestational diabetes mellitus (GDM), hypertensive disorders in pregnancy (HDP) and premature delivery. RESULTS: Subjects with PCOS had a significantly greater prepregnancy body mass index, prevalence of obesity and nulliparity as compared with controls. The incidence of IGT (p=0.007), GDM (p=0.01) and HDP (p=0.001) were significantly higher in pregnant PCOS compared with the control group. There were no significant differences in the neonatal outcomes and prevalence of premature delivery between the 2 study groups. When non-obese PCOS patients were compared with non-obese controls, the incidence of GDM (p=0.04) and HDP (p=0.004) were still significantly higher in the former. The prevalence of pregnancy complications were not significantly different when obese PCOS were compared with obese control patients. The PCOS was demonstrated as a risk factor for IGT (p=0.05), GDM (p=0.03) and HDP (p=0.03), but not for premature delivery. CONCLUSION: Women with PCOS who conceived after the drilling were at higher risk of IGT, GDM and HDP, and this risk seemed to be independent of maternal obesity. SN - 0379-5284 UR - https://www.unboundmedicine.com/medline/citation/16598331/Pregnancy_outcomes_after_laparoscopic_ovarian_drilling_in_women_with_polycystic_ovarian_syndrome_ L2 - http://www.diseaseinfosearch.org/result/9619 DB - PRIME DP - Unbound Medicine ER -