The influence of polycystic ovary syndrome and metabolic syndrome on the choice of the type of delivery: literature review

Authors

  • Luciana Shiguemi Yamada Acadêmica de Medicina pela Universidade Federal de Alagoas
  • Hosana Maria Araújo Rêgo Acadêmica de Enfermagem UFPI
  • Maria Clara Teixeira Sento Sé Acadêmica de Medicina na Escola Bahiana de Medicina e Saúde Pública
  • Livya Mackllaf Figueiredo Feitoza Médica pela Estácio de Juazeiro do Norte - Medicina
  • Fernanda Fabian Callejon Cicilio Médica pela ATITUS
  • Ana Flávia Vieira Xavier Medicina pela Universidade Federal da Bahia
  • Kevin William Neves Lacerda Médico pela UniNassau
  • Raimundo Nogueira de Oliveira Júnior Médico pela Faculdade Estácio de Medicina em Juazeiro do Norte
  • João Victor Rego Dias Lima Médico pela Universidade Potiguar
  • Isnara de Sá Leitão Pinheiro de Gouveia Médica pela Universidade Potiguar
  • Filomeno Bastos de Mesquita Neto Médico pelo Centro Universitário Christus
  • Ayres Milano de Souza Neto Acadêmica de medicina pela Faculdade Estácio de Sá de Juazeiro Bahia
  • João Victor Vasconcelos Tavares Maximiliano Acadêmico de Medicina pela Universidade Federal de Alagoas
  • Gabriela Barbosa de Sá Rocha Acadêmica de Medicina pela Universidade Federal de Alagoas
  • Yves Cardoso Cavalcante Acadêmico de Medicina pela Universidade Federal de Alagoas
  • Vitor Lins Acioli Barreto Acadêmico de Medicina pela Universidade Federal de Alagoas
  • Eliab Batista Barros Universidade Federal de Alagoas
  • Lorena Narel Ferreira Batista Faculdade de Medicina Estácio de Juazeiro do Norte
  • Sabrina Maria Araujo Sobreira Residente de Clínica Médica, formada no Centro Universitário INTA
  • Ariany de Assis Moura Médica pela Universidade de Fortaleza

DOI:

https://doi.org/10.36557/2674-8169.2023v5n5p4035-4045

Keywords:

Metabolic Syndrome, Polycystic Ovary Syndrome, Type of delivery, Pregnancy

Abstract

Introduction: Polycystic Ovary Syndrome (PCOS) and Metabolic Syndrome (MS) are interconnected through various physiological pathways, and their coexistence may have significant implications, especially during pregnancy and the childbirth process. During pregnancy, women with PCOS and MS may face an increased risk of obstetric complications. Regarding the impact on childbirth, PCOS and MS can influence the choice of the type of delivery.

Methodology: This work constitutes a literature review, following the systematization with the five pillars described below. 1) Problem statement: "What is the influence of PCOS and MS on the choice of the type of delivery?". 2) Relevant studies were identified using the PUBMED platform with the descriptors "Metabolic Syndrome, Polycystic Ovary Syndrome, Parturition, Pregnancy," PUBMED all in accordance with MESH. 3) Initially, 11 studies were selected; 4 were discarded after a thorough reading as they did not contribute to the problem statement. 4) Data extraction was performed using a text editing program. 5) Experts were consulted.

Results: The studies revealed that PCOS and MS are associated with a clinically significant increase in the risk of complications during pregnancy compared to control groups. Additionally, there is a 3 to 4 times higher likelihood of developing pregnancy-induced hypertension and preeclampsia, a threefold increase in the risk of gestational diabetes, and a twofold likelihood of premature birth. The elevated obstetric risk for women with PCOS is reflected in a higher rate of spontaneous abortion. Moreover, it was observed that, compared to the general population, PCOS and MS are more associated with cesarean delivery.

Conclusion: Cesarean delivery is predominant in patients with PCOS and MS. Furthermore, there is a higher risk of developing pregnancy-induced hypertension, preeclampsia, and premature birth.

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References

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Published

2023-11-28

How to Cite

Yamada, L. S., Rêgo , H. M. A., Sé, M. C. T. S., Feitoza, L. M. F., Cicilio , F. F. C., Xavier, A. F. V., Lacerda, K. W. N., Júnior, R. N. de O., Lima , J. V. R. D., Gouveia, I. de S. L. P. de, Neto, F. B. de M., Neto, A. M. de S., Maximiliano, J. V. V. T., Rocha, G. B. de S., Cavalcante, Y. C., Barreto, V. L. A., Batista Barros, E., Batista, L. N. F., Sobreira, S. M. A., & Moura, A. de A. (2023). The influence of polycystic ovary syndrome and metabolic syndrome on the choice of the type of delivery: literature review. Brazilian Journal of Implantology and Health Sciences, 5(5), 4035–4045. https://doi.org/10.36557/2674-8169.2023v5n5p4035-4045

Issue

Section

Literature Review