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Systematic review and meta-analysis of pregnancy outcomes in women with polycystic ovary syndrome

Author

Listed:
  • Mahnaz Bahri Khomami

    (Monash University)

  • Soulmaz Shorakae

    (Monash University)

  • Somayeh Hashemi

    (Brock University)

  • Cheryce L. Harrison

    (Monash University
    Monash Health)

  • Terhi T. Piltonen

    (University of Oulu)

  • Daniela Romualdi

    (Fondazione Policlinico Universitario A. Gemelli)

  • Chau Thien Tay

    (Monash University)

  • Helena J. Teede

    (Monash University
    Monash Health)

  • Eszter Vanky

    (Norwegian University of Science and Technology
    Trondheim University Hospital)

  • Aya Mousa

    (Monash University)

Abstract

Screening for polycystic ovary syndrome (PCOS) in antenatal care is inadequate, largely owing to the lack of clarity around whether PCOS is an independent risk factor for pregnancy complications. This systematic review and meta-analysis include 104 studies and 106,690 pregnancies in women with and without PCOS from inception until 13th July 2022. We report that women with PCOS are younger and have higher body mass index (BMI) around conception and have greater gestational weight gain. The odds of miscarriage, gestational diabetes mellitus, gestational hypertension, pre-eclampsia and cesarean section are higher in women with PCOS. The increased odds of adverse outcomes in PCOS remain significant when age and BMI are matched and when analyses are restricted to high-quality studies. This work informed the recommendations from the 2023 international evidence-based guideline for the assessment and management of polycystic ovary syndrome, emphasizing that PCOS status should be captured in all women who are planning to, or have recently become pregnant to facilitate prevention of adverse outcomes and improve pregnancy outcomes.

Suggested Citation

  • Mahnaz Bahri Khomami & Soulmaz Shorakae & Somayeh Hashemi & Cheryce L. Harrison & Terhi T. Piltonen & Daniela Romualdi & Chau Thien Tay & Helena J. Teede & Eszter Vanky & Aya Mousa, 2024. "Systematic review and meta-analysis of pregnancy outcomes in women with polycystic ovary syndrome," Nature Communications, Nature, vol. 15(1), pages 1-12, December.
    • Handle: RePEc:nat:natcom:v:15:y:2024:i:1:d:10.1038_s41467-024-49749-1
    DOI: 10.1038/s41467-024-49749-1
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