Management of endometriosis in a level 2B maternity unit: A retrospective study

Abstract

Introduction: Endometriosis, a chronic gynecological condition, complicates fertility and pregnancy management, requiring tailored approaches in maternity units. This study evaluates the management of endometriosis in a level 2B maternity unit. Methods: A retrospective study was conducted at Menzel Temime Regional Hospital, Tunisia, from January 2022 to December 2024, including 60 women with confirmed endometriosis managed during preconception or pregnancy. Data on demographics, clinical presentation, diagnostic methods, treatment strategies, and maternal-fetal outcomes were analyzed. Results: Mean age was 32.4 years; 70% had infertility history. Diagnosis was confirmed by laparoscopy (65%) or imaging (35%). Preconception management included hormonal therapy (50%) and assisted reproductive techniques (30%). During pregnancy, 40% required pain management, and 25% experienced complications (e.g., preterm labor). Live birth rate was 85%, with no significant maternal morbidity. Conclusion: Effective endometriosis management in a level 2B maternity unit involves multidisciplinary care, balancing hormonal, surgical, and obstetric interventions. Preconception optimization enhances pregnancy outcomes.