Pregnancy outcome in patients with fibromyalgia syndrome

Tammy Zioni, Dan Buskila, Barak Aricha-Tamir, Arnon Wiznitzer, Eyal Sheiner*

*Corresponding author for this work

Research output: Contribution to journalArticlepeer-review

9 Scopus citations

Abstract

Objective. To investigate pregnancy outcome of patients with fibromyalgia syndrome (FMS). Methods. A retrospective cohort study comparing pregnancies of women with and without FMS was conducted. Multivariable logistic regression models was performed to control for confounders Results.Deliveries of 112 women with FMS were compared with a control group of 487 deliveries of women without FMS. Parturients with FMS had higher rates of intrauterine growth restriction (IUGR; 7.1% vs. 1.0%, p = 0.001), recurrent abortions (9.8% vs. 1.8%, p < 0.001), gestational diabetes mellitus (14.3% vs. 7%, p = 0.012), and polyhydramnios (12.5% vs. 1.6%, p < 0.001). These patients had lower rates of preterm deliveries (PTD; 6.3% vs. 16.7%, p = 0.018). No significant differences were noted between the groups regarding the rates of cesarean deliveries (CD) (15.2% vs. 21.2%, p = 0.149) and perinatal outcomes such as low Apgar scores (<7) at 1 and 5min (4.5% vs. 6.7%, p = 0.292 and 1.2% vs. 0.6%, p = 0.372; respectively). Using two multiple logistic regression models, the positive association between FMS and IUGR (adjusted OR = 4.1, 95% CI 1.213.2; p = 0.02) and the negative association with PTD (OR = 0.3, 95% CI 0.20.6; p = 0.001) remained significant. Conclusion. FMS is an independent risk factor for intrauterine growth restriction. Nevertheless, it is associated with lower rates of preterm deliveries.

Original languageEnglish
Pages (from-to)1325-1328
Number of pages4
JournalJournal of Maternal-Fetal and Neonatal Medicine
Volume24
Issue number11
DOIs
StatePublished - Nov 2011
Externally publishedYes

Funding

FundersFunder number
Whitman family
Ben-Gurion University of the Negev

    Keywords

    • Intrauterine growth restriction (IUGR)
    • preterm delivery (PTD)

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