| Titre : | Polycystic ovary syndrome and adverse pregnancy outcomes : a literature review (2024) |
| Auteurs : | Alexandra Jasper ; Gemma K. Ford |
| Type de document : | Article : texte imprimé |
| Dans : | Midirs. Midwifery Digest (Vol. 34, n° 2, juin 2024) |
| Article en page(s) : | p. 149-153 |
| Langues: | Anglais |
| Sujets : |
Paramédical (MeSH) Diabète gestationnel ; Grossesse à haut risque ; Guide de bonnes pratiques ; Prééclampsie ; Sage-femme ; Syndrome des ovaires polykystiques |
| Résumé : |
Background: Polycystic ovary syndrome (PCOS) is a reproductive disorder that has long been associated with menstrual cycle abnormalities, hirsutism and infertility. Because of the complexity of PCOS, the aetiology remains unclear, with complex pathophysiology presenting as various phenotypes of this disorder. PCOS at present is currently linked only with an increased risk of gestational diabetes mellitus (GDM) in pregnancy due to the associated hyperinsulinemia. However, emerging evidence suggests that women with PCOS are potentially at higher risk of adverse pregnancy outcomes (APO) than first thought.
Aim: To investigate the association between PCOS and APO and highlight areas of practice that can be improved to reduce the incidence of APO in pregnant women with PCOS. Method: A literature search was conducted using the PubMed, Cochrane and Medline databases for articles relating to the pregnancy outcomes of women with PCOS. Inclusion and exclusion criteria were applied. The quality of the evidence was assessed with the Critical Appraisal Skills Programme (CASP) checklist. Results: Twenty-five studies were suitable for inclusion, concentrating on the APO of GDM, pre-eclampsia (PET) and small for gestational age (SGA). Findings: The findings of this review produce a strong suggestion that there is an association between the APO, GDM, PET and PCOS. There is less persuasive evidence regarding the relationship between SGA and PCOS, with controversy present among the findings of this review and current research. This review's findings highlight the potential requirement for more specific care guidelines for women with PCOS. The majority of the studies used in this review were Scandinavian, therefore further research among a more ethnically diverse population, with large sub-groups of different PCOS phenotypes, could increase the resolution of the results, providing further insight into the effect of PCOS on APO. |
Exemplaires (1)
| Localisation | Section | Support | Cote de rangement | Statut | Disponibilité |
|---|---|---|---|---|---|
| Bibliothèque Paramédicale | Périodiques | Périodique | Midirs. 2024-2 | Empruntable | Disponible |
