Pregnancy With Polycystic Ovary Syndrome: A Literature Review

This literature review investigates the impact of polycystic ovary syndrome (PCOS) on pregnancy, highlighting increased risks for gestational diabetes, pregnancy-induced hypertension, and caesarian deliveries in women with PCOS. The study finds that gestational diabetes affects 40-50% of PCOS pregnancies, with a threefold increased risk compared to non-PCOS pregnancies. Hypertensive diseases occur in up to 8% of PCOS pregnancies, and caesarian sections are more common (64.7% vs. 39.2%). Preterm birth complications occur in 6-15% of PCOS pregnancies. The review notes inconsistent findings on neonatal birth weight, with both large-for-gestational-age and small-for-gestational-age outcomes reported. The pathophysiology of PCOS significantly influences these adverse outcomes, rather than PCOS symptoms alone.