Adnexal Mass in Pregnancy: Obstetric Outcome and Management
Journal Title: International Journal of Medical Research Professionals - Year 2018, Vol 4, Issue 6
Abstract
Background: Adnexal masses are diagnosed in 1 to 4% of all pregnancies. During pregnancy ovarian cysts can undergo resolution of the cyst, change of ultrasound pattern, occurrence of ovarian torsion and intracystic haemorrhage or rupture. The choice of treatment is conservative, provided patient is asymptomatic. Optimal timing for planned surgery is the second trimester as it is shown to have least neonatal outcome. The objective of study was to evaluate management of ovarian cyst in pregnancy and its effect on outcome of pregnancy. Methods: This study was conducted for 2 years from March 2016 – March 2018 at SKIMS, Srinagar. A total 40 cases were included. The pregnancy outcome and management were studied. Results: Out of 40 patients, no case of miscarriage was found with most cases delivered vaginally. All the cases were benign, with clear cyst most common among them (12 cases). Conclusion: Optimal management for the ovarian cyst is conservative in pregnancy, provided patient remain asymptomatic and characteristic of cyst are consistent with benign pathology. Surgical management is to be reserved for symptomatic patient.
Authors and Affiliations
Saba Musharaf, Mohd Abass, Fidah Mohamad
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