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  1. 30 医学部・医学研究科・附属病院
  2. 30a 学位論文
  3. 30a-01 博士論文(大学院医学研究科)
  4. 令和6年度後期

Association between endometriosis and perinatal complications: a case-control study

http://hdl.handle.net/10129/0002000935
http://hdl.handle.net/10129/0002000935
80b785d2-fbfe-478b-ad31-e2f5dc40f32e
名前 / ファイル ライセンス アクション
tdm_2319_uchida.pdf 本文 (1.1 MB)
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tdm_2319_uchida_a1.pdf 内容要旨 (221 KB)
tdm_2319_uchida_a2.pdf 審査要旨 (256 KB)
アイテムタイプ リポジトリ登録用アイテムタイプ(シンプル)(1)
公開日 2025-06-17
タイトル
タイトル Association between endometriosis and perinatal complications: a case-control study
言語 en
言語
言語 eng
キーワード
言語 en
主題Scheme Other
主題 Endometriosis
キーワード
言語 en
主題Scheme Other
主題 Placenta previa
キーワード
言語 en
主題Scheme Other
主題 Perinatal outcomes
キーワード
言語 en
主題Scheme Other
主題 Perinatal complications
資源タイプ
資源タイプ識別子 http://purl.org/coar/resource_type/c_db06
資源タイプ doctoral thesis
アクセス権
アクセス権 open access
アクセス権URI http://purl.org/coar/access_right/c_abf2
著者 内田, 苑佳

× 内田, 苑佳

ja 内田, 苑佳

en Sonoka, Uchida

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内容記述タイプ Abstract
内容記述 Background: Recently, a history of endometriosis has been reported to be associated with several perinatal complications. However, it is unknown whether pre-pregnancy treatment for endometriosis reduces perinatal complications. In this study, we aimed to clarify the association between endometriosis and perinatal complications and investigate whether there is a significant difference in the incidence of placenta previa depending on the degree of surgical completion of endometriosis before pregnancy.
Methods: This case-control study included 2781 deliveries at the Hirosaki University Hospital between January 2008 and December 2019. The deliveries were divided into a case group with a history of endometriosis (n = 133) and a control group without endometriosis (n = 2648). Perinatal outcomes and complications were compared between the case and control groups using a t-test and Fisher’s exact test. Multiple logistic regression models were used to identify the risk factors for placenta previa. Additionally, we examined whether the degree of surgical completion of endometriosis before pregnancy was associated with the risk of placenta previa.
Results: Patients with a history of endometriosis had a significantly higher risk of placenta previa (crude odds ratio, 2.66; 95% confidence interval, 1.37‒4.83). Multiple logistic regression analysis showed that a history of endometriosis was a significant risk factor for placenta previa (adjusted odds ratio, 2.30; 95% confidence interval, 1.22‒4.32). In addition, among patients with revised American Society for Reproductive Medicine stage III–IV endometriosis, the incidence of placenta previa was significantly lower in patients who underwent complete surgery (3/51 patients, 5.9%) than in those who did not (3/9 patients, 33.3%) (p = 0.038). Conclusions A history of endometriosis is an independent risk factor for placenta previa. Given the limitations of this study, further research is needed to determine the impact of endometriosis surgery on perinatal complications.
言語 en
内容記述
内容記述タイプ Other
内容記述 Author(s): Sonoka Uchida, Rie Fukuhara, Machi Yokoyama, Asami Akaishi, Kaori Iino, Megumi Yokota & Yoshihito Yokoyama

Uchida et al. BMC Pregnancy and Childbirth (2024) 24:537 
https://doi.org/10.1186/s12884-024-06724-4
言語 en
書誌情報 en : BMC Pregnancy and Childbirth

巻 24, 発行日 2024-08-14
ISSN
収録物識別子タイプ EISSN
収録物識別子 1471-2393
DOI
関連タイプ isIdenticalTo
識別子タイプ DOI
関連識別子 https://doi.org/10.1186/s12884-024-06724-4
権利情報
権利情報 This article is licensed under a Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International License, which permits any non-commercial use, sharing, distribution and reproduction in any medium or format, as long as you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons licence, and indicate if you modified the licensed material. You do not have permission under this licence to share adapted material derived from this article or parts of it. The images or other third party material in this article are included in the article’s Creative Commons licence, unless indicated otherwise in a credit line to the material. If material is not included in the article’s Creative Commons licence and your intended use is not permitted by statutory regulation or exceeds the permitted use, you will need to obtain permission directly from the copyright holder. To view a copy of this licence, visit http://creativecommons.org/licenses/by-nc-nd/4.0/. Reprints and permissions
言語 en
出版タイプ
出版タイプ VoR
出版タイプResource http://purl.org/coar/version/c_970fb48d4fbd8a85
出版者
出版者 Springer Nature
言語 en
学位名
学位名 博士(医学)
言語 ja
学位授与機関
学位授与機関名 弘前大学
言語 ja
学位授与年月日
学位授与年月日 2025-03-24
学位授与番号
学位授与番号 甲第2319号
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