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

Mahnaz Bahri Khomami (), Soulmaz Shorakae, Somayeh Hashemi, Cheryce L. Harrison, Terhi T. Piltonen, Daniela Romualdi, Chau Thien Tay, Helena J. Teede, Eszter Vanky and Aya Mousa
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Mahnaz Bahri Khomami: Monash University
Soulmaz Shorakae: Monash University
Somayeh Hashemi: Brock University
Cheryce L. Harrison: Monash University
Terhi T. Piltonen: University of Oulu
Daniela Romualdi: Fondazione Policlinico Universitario A. Gemelli
Chau Thien Tay: Monash University
Helena J. Teede: Monash University
Eszter Vanky: Norwegian University of Science and Technology
Aya Mousa: Monash University

Nature Communications, 2024, vol. 15, issue 1, 1-12

Abstract: 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.

Date: 2024
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DOI: 10.1038/s41467-024-49749-1

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