FETOMATERNAL OUTCOME IN PREGNANCIES COMPLICATED BY POLYCYSTIC OVARY SYNDROME: A PROSPECTIVE COHORT STUDY

Main Article Content

Iflah Akbar
Saima Yousuf Wani
Rabia Khurshid Sirwal
Imran Mansoor Shah

Keywords

Polycystic Ovary Syndrome, Pregnancy Outcomes, Gestational Diabetes, Preeclampsia, Fetal Growth

Abstract

Polycystic Ovary Syndrome (PCOS) is among the most common endocrine disorders in reproductive-age women, and its association with high‑risk pregnancy has been increasingly recognized. Evidence regarding its effects on fetomaternal outcomes is still mixed and applies to South Asian populations as well.


Aims and Objectives: This paper, therefore, seeks to assess and compare Maternal and Neonatal Outcomes among Pregnant women with PCOS as compared to those without PCOS.


Materials and methods: This prospective cohort study was conducted in the Department of Obstetrics and Gynecology between January 2022 and June 2024 at a Tertiary Care Hospital in North India. Overall, 160 pregnant women with a single fetus were recruited, including the PCOS group of 71 women diagnosed by Rotterdam criteria and non‑PCOS controls (n =79) matched for baseline characteristics. Maternal (BMI, Miscarriage, Gestational Diabetes Mellitus, Gestational Hypertension, Preeclampsia, Mode of Delivery) and Neonatal Outcomes (Gestational age at birth, Weight at birth, Intrauterine Growth restriction rate, Amniotic fluid Abnormalities, and Admission to the NICU) were examined.


Results: The findings of this study confirm that pregnancies complicated by PCOS are associated with increased Maternal and Neonatal morbidity.


Conclusion: This study underscores the need for intensified antenatal surveillance and tailored management strategies in women with PCOS.

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