Abstract

Dr. Saba Mushtaq, Dr. Asifa Ali, Dr. Saima Salam and Dr. Irfan Gul*

ABSTRACT

Polycystic ovary syndrome (PCOS) is one of the most common endocrine disorders in women of childbearing age. The prevalence of PCOS is 3%–7% in the general population1 and might be as high as 20% in women presenting with infertility2 Rotterdam criteria most widely accepted requires the presence of two of the following3 oligo/anovulation, clinical or biochemical signs of hyperandrogenism, polycystic ovaries on USG. Aims and objective: To look for obstetric outcome in pregnant women with PCOS in terms of: Abortion, Development of GDM, PIH, Preterm Delivery, Perinatal outcome. Study included 270 patients among which 54 were selected as (study group) and 216 as control after proper selection Present study compares the outcome of pregnancy in women with PCOD in terms of abortion, GDM, PIH, preterm delivery and perinatal outcome with those pregnant women who do not have PCOD. Result: The mean age of our study group pregnant with PCOS was 27.2+2.19 years and of control 27.2+2.18 years. There were 44 (77.8%) Primi, in study group and 168 (77.8%) in control group. While as there were 12 (22.2%) multi parous in study group and 48 (22.2%) in control group. In the study group, 31 (57.4%) were in first trimester, 31.5 (17%) in second trimester and 6 (11.1%) in third trimester, while as in control group, there were 124 (57.4%), 68 (31.5 and 24 (11.1%) in their first, second and third trimester respectively. In a total of 54 patients 12 (22.2%) had GDM while in control group among a total of 216 patients 17 (7.9%) had GDM.6 (11.1%) in study group had pregnancy induced hypertension, In control group, 4 (1.9%) developed PIH.9 (16.7%) patients had abortion in study group while 31 (14.4%) women in control group had abortion .Preterm delivery was observed in 10 (18.5%) patients in PCOS group while as in control group preterm delivery was present in 16 (7.4%) patients.23 (42.6%) women in PCOS group delivered their babies through caesarean section while in control group 53 (24.5%) .11 (20.4%) of neonates born by women in PCOS group were admitted in NICU while 17 (7.9%) neonates of control group .In PCOS group there was 1 (1.9%) perinatal mortality while in control group there was 2 (0.9%) perinatal mortality. Three (5.6%) neonates born by women with PCOS had Apgar score of