Influence of assisted reproductive technology and uterine leiomyoma on pregnancy outcomes in women with adenomyosis  

作　　者：Yi-Ling Wang Zhao Tian Xiao-Hong Chang Hong-Lan Zhu Heng Cui 

机构地区：[1]Department of Obstetrics and Gynecology,People's Hospital,Peking University,Beijing,100044,China

出　　处：《Gynecology and Obstetrics Clinical Medicine》2023年第1期56-59,共4页妇产科临床医学（英文）

基　　金：“Natural Science Foundation of Beijing Municipality”[No:7222206].

摘　　要：Aim To assess whether adverse pregnancy outcomes in women with adenomyosis are different according to the method of conception and the concurrent of uterine leiomyoma(UL).Methods We performed a retrospective study.Fifty-three singleton pregnancy cases complicated with adenomyosis were included in this study.In the study group,15 women became pregnant with assisted reproductive technology(ART)and 21 women combined with UL.Pregnancy outcomes were compared between ART and non-ART,UL and non-UL groups.Results The prevalence for such complications as hypertensive disorder complicating pregnancy(HDCP)and postpartum hemorrhage(PPH)were significantly higher in the women conceived by ART(33.3%vs.5.3%,P=0.023)and(53.3%vs.23.7%,P=0.037),respectively.And women concurrent with UL of which the diameter≥4cm were more likely to have severe PPH(44.4%vs.0%,P=0.021).Conclusion ART may increase the risk of adverse pregnancy outcomes such as HDCP and PPH in women with adenomyosis and UL of which the diameter≥4cm may further increase the risk of severe PPH.

关 键 词：ADENOMYOSIS Adverse pregnancy outcomes Assisted reproductive technology Uterine leiomyoma 

分 类 号：R714.2[医药卫生—妇产科学]