GPs urged to monitor mums-to-be with polycystic ovary syndrome


Pregnant women with polycystic ovary syndrome (PCOS) are at higher risk of complications regardless of whether they are using fertility treatment and should be treated as ‘high risk’ patients, research suggests

Experts said GPs should more closely monitor expectant motherswith the condition for complications.

It is known PCOS increases the chance of complications withpregnancy but studies have not clearly shown that this risk is distinct from the effects of fertility treatment, which many affected women undergo.

The Swedish research compared records from 3,787 births among women with PCOS and 1.1 million among women without.

Women with PCOS were 45% more likely to develop pre-eclampsia and more than twice as likely to have gestational diabetes. Risk of very pre-term birth was 2.2-fold higher.

Infants born to PCOS mothers also had larger than average birth weight and more likely to develop asphyxia during labour.

The heightened risks could not be explained by the use of assisted reproduction technologies.

Researchers concluded: ‘These women may need increasedsurveillance during pregnancy and childbirth. Future researchwould benefit from focusing on glucose control, medical treatmentand hormonal status among women with PCOS during pregnancy.’

Professor Nick Macklon of the

University

of Southampton, wrote in an editorial: ‘It is clear that women withPCOS should be considered “high risk”obstetric patients and that midwives,GPs, andobstetricians should monitor these women as such.’ 

Advertisements

Leave a Reply

Fill in your details below or click an icon to log in:

WordPress.com Logo

You are commenting using your WordPress.com account. Log Out / Change )

Twitter picture

You are commenting using your Twitter account. Log Out / Change )

Facebook photo

You are commenting using your Facebook account. Log Out / Change )

Google+ photo

You are commenting using your Google+ account. Log Out / Change )

Connecting to %s