Pregnancy complications in polycystic ovary syndrome patients
| Autor: | Adam Czyzyk, Agnieszka Podfigurna-Stopa, Krzysztof Katulski, Blazej Meczekalski, Andrea R. Genazzani |
|---|---|
| Rok vydání: | 2014 |
| Předmět: |
Gestational hypertension
medicine.medical_specialty endocrine system diseases Endocrinology Diabetes and Metabolism Fetal Macrosomia Miscarriage Impaired glucose tolerance Endocrinology Insulin resistance Pre-Eclampsia Pregnancy medicine Humans reproductive and urinary physiology business.industry Obstetrics Infant Newborn nutritional and metabolic diseases Obstetrics and Gynecology Hypertension Pregnancy-Induced Infant Low Birth Weight medicine.disease Polycystic ovary female genital diseases and pregnancy complications Pregnancy Complications Gestational diabetes Diabetes Gestational Small for gestational age Female business Polycystic Ovary Syndrome |
| Zdroj: | Gynecological Endocrinology. 31:87-91 |
| ISSN: | 1473-0766 0951-3590 |
| Popis: | Infertility is a widely disputed problem affecting patients suffering from polycystic ovary syndrome (PCOS). As a serious dysfunction, it frequently occurs in PCOS patients. It is, therefore, important to devote more attention to pregnancy in PCOS sufferers. According to various data, the risk of miscarriage in PCOS women is three times higher than the risk of miscarriage in healthy women. Unfortunately, the risk of most frequent pregnancy pathologies is also higher for PCOS patients, as gestational diabetes (GD), pregnancy-induced hypertension and pre-eclampsia, and small for gestational age (SGA) children. Impaired glucose tolerance and GD in pregnant PCOS patients occur more frequently than in healthy women. A quadruple increase in the risk of pregnancy-induced hypertension linked to arterial wall stiffness has also been observed in PCOS patients. The risk of pre-eclampsia, the most severe of all complications, is also four times higher in those suffering from PCOS. Pre-eclampsia is also more frequent in patients presenting additional risk factors accompanying PCOS, such as obesity or GD. At that point, it should be mentioned that PCOS patients are under 2.5 higher risk of giving birth to SGA children than healthy women. It appears that SGA can be linked to insulin resistance and insulin-dependent growth dysfunction. Therefore, PCOS pregnant women are patients of special obstetrical care. |
| Databáze: | OpenAIRE |
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