Kim Anne E, Lee Iris T, Ottey Sasha, Dokras Anuja
Department of Obstetrics and Gynecology, Hospital of the University of Pennsylvania, Philadelphia, Pennsylvania.
PCOS Challenge: The National Polycystic Ovary Syndrome Association, Atlanta, Georgia.
F S Rep. 2024 May 18;5(3):312-319. doi: 10.1016/j.xfre.2024.05.004. eCollection 2024 Sep.
To assess the counseling experiences of patients with polycystic ovary syndrome (PCOS) related to obstetric complications and preconception management of comorbidities.
Cross-sectional survey study.
Not applicable.
Patients with PCOS with a history of or attempt at pregnancy.
Not applicable.
Demographic characteristics, medical history, and counseling experiences.
Of the 302 respondents, 72.9% had a previous pregnancy, with 66.8% reporting complications during pregnancy. Of the entire cohort, 52.7% received preconception counseling on PCOS-related obstetric complications, and 41.5% were satisfied with their counseling experience. Five percent were counseled on related postpartum complications, and 43.4% received counseling about prepregnancy weight management, with the minority satisfied with their counseling. Among the respondents with existing comorbidities including hypertension, diabetes, and anxiety or depression, the minority received counseling on their preconception management. Although there were no racial disparities in the overall counseling of pregnancy complications, more black patients were counseled about preeclampsia, cesarean section, and preterm birth than white patients. Of the patients who had a single provider managing their PCOS care, 78.6% who saw a reproductive endocrinologist, 53.2% who saw a general gynecologist, and 35.0% who saw a primary care physician reported receiving counseling on related pregnancy complications.
Despite the high prevalence of obstetric complications associated with PCOS, our study revealed inadequate patient counseling about both the antepartum and postpartum periods and preconception management of existing comorbidities. Our findings highlight the urgent need to increase provider education and patient awareness to optimize maternal and neonatal outcomes.
评估多囊卵巢综合征（PCOS）患者在产科并发症及合并症孕前管理方面的咨询经历。
横断面调查研究。
不适用。
有怀孕史或尝试怀孕的PCOS患者。
不适用。
人口统计学特征、病史及咨询经历。
在302名受访者中，72.9%曾怀孕，其中66.8%报告孕期有并发症。在整个队列中，52.7%接受了关于PCOS相关产科并发症的孕前咨询，41.5%对其咨询经历感到满意。5%接受了关于相关产后并发症的咨询，43.4%接受了关于孕前体重管理的咨询，少数人对咨询感到满意。在患有包括高血压、糖尿病以及焦虑或抑郁等现有合并症的受访者中，少数人接受了关于其孕前管理的咨询。尽管在妊娠并发症的总体咨询方面不存在种族差异，但接受子痫前期、剖宫产和早产咨询的黑人患者比白人患者更多。在由单一医疗服务提供者管理其PCOS护理的患者中，78.6%看过生殖内分泌科医生的患者、53.2%看过普通妇科医生的患者以及35.0%看过初级保健医生的患者报告接受了关于相关妊娠并发症的咨询。
尽管与PCOS相关的产科并发症患病率很高，但我们的研究显示，患者在产前和产后时期以及现有合并症的孕前管理方面的咨询不足。我们的研究结果凸显了迫切需要加强医疗服务提供者的教育并提高患者的认识，以优化母婴结局。
