Abstract

STUDY ON POLYCYSTIC OVARY SYNDROME COMPLICATIONS DURING PREGNANCY IN A SOUTH INDIAN HOSPITAL

Sathish Kumar B. P., Dr. Hema P. M.* and Dr. Joseph Varghese

ABSTRACT

Introduction: The most typical endocrine condition in females of reproductive age is polycystic ovarian syndrome (PCOS). It is a heterogeneous disorder that affects 5% to 20% of women worldwide who are of reproductive age and is characterised by hyperandrogenism, ovarian dysfunction, and polycystic ovarian morphology (PCOM). PCOS is now recognised as a syndrome with metabolic effects that may have an impact on women's health at various stages of their reproductive and post-reproductive lives. PCOS also appears to be linked to the metabolic syndrome, which is characterised by dyslipidemia, hypertension, and an impaired insulin response brought on by both insulin resistance and b-cell dysfunction. Obesity commonly coexists with PCOS (50%), and PCOS has been linked to a number of pregnancy problems. These include a rise in the incidence of spontaneous miscarriage, gestational diabetes, pre-eclamptic toxaemia, pregnancy-induced hypertension (PIH), and the delivery of small-for-gestational-age (SGA) infants. Methods: A prospective observational research was conducted on 23 patients, taking into account the inclusion and exclusion criteria. Volunteers were included after providing written informed permission. Microsoft Excel and the SPSS statistical approach will be used to examine all the acquired data. Results: The study included a total of 23 patients, and it was found that the majority of the patients, or about 39.1%, experienced miscarriage as a complication, along with 26.1% of patients who had GDM, 13% who had obesity, and 8.7% who had other complications. In contrast, 4.3% of patients had pregnancy-induced hypertension, 4.3% had GDM and obesity, and the remaining 13% did not. Conclusion: The majority of the 23 patients, who were all miscarriage and GDM patients, had PCOS issues during their pregnancies. Therefore, in this investigation, we did not discover any major PCOS pregnancy problems such GDM, PIH, or preterm births.

Keywords: Polycystic ovary syndrome (PCOS), Complications of PCOS, Pregnant Women.