Santosh Kumar Mishra
S. N. D. T. Women's University, India
Scientific Tracks Abstracts: J Steroid Horm Sci
Polycystic Ovarian Syndrome [(PCOS), defined as ??set of symptoms caused by a problem with a woman's hormones?] is closely linked with pregnancy outcomes. It affects up to one in five women of child-bearing age. It is a primary risk factor for adverse pregnancy and birth complications. The objective of this evidence-based review paper is to present discussion on implications of polycystic ovarian syndrome (PCOS) for pregnancy outcomes and birth complications. Secondary data (largely ??qualitative??) have been used, and method of data analysis is ??descriptive??. Analysis of data in this work indicates that impact of PCOS is reflected in the form of (1) obesity: both before and during pregnancy, (2) insulin resistance, (3) infertility, (4) cardiometabolic risk factors, and (5) poor mental health. PCOS results in increased body mass index (BMI) at conception which is associated with adverse pregnancy outcomes. Women are at increased risks due to excess gestational weight gain during pregnancy. Women with increased BMI in overweight category are more likely to exceed gestational weight gain recommendations. Further, women with PCOS are at increased risk for ectopic pregnancy (??a situation when a fertilized egg implants and grows outside the main cavity of the uterus?), molar pregnancy (??when an egg and sperm join incorrectly at fertilization and create tumour?), and miscarriage. Furthermore, reproductive complications in women with PCOS result in irregular or absent menstrual cycles. In order to improve fertility and promote healthy pregnancy, optimizing health during preconception days is of paramount importance for women with PCOS (which is a common disorder that has profound implications for women throughout their reproductive years). It is linked with difficulty in conceiving and pregnancy-related complications of miscarriage. The author concludes that delayed and missed diagnosis is common. There is lack of awareness; recognition of PCOS as a risk factor for pregnancy is poor.
Santosh Kumar Mishra is an Independent Researcher (Scholar), having retired from Population Education Resource Centre, Department of Lifelong Learning & Extension, S.N.D.T. Women's University, Mumbai, India (https://sndt.ac.in). He underwent training in demography, with award of Government of India Fellowship, during 1986-1987 from the IIPS, Mumbai. Also, he acquired Ph. D. from University of Patna in 1999. His other qualifications include Post-Master??s Diploma in Adult & Continuing Education, Certificate Course on Hospital and Health Care Management, and Diploma in Human Resource Development. He have authored (some co-authored) 5 booklets, 4 books, 23 book chapters, 107 journal articles, 2 monographs, 7 research studies, & 115 papers for national & international conferences (some with bursary). He has been awarded with Certificate of Excellence in Reviewing for 2017, 2018, 2021, 2022, and 2024 by various journals. He has been conferred with Excellence of Research Award for outstanding contribution & recognition in the field of agriculture in 2021.
