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[Pregnancy complicated by ovarian cysts].
Akusherstvo I Ginekologiia
|January 12, 2002
Summary
Pregnancy outcomes are generally favorable for women with ovarian cysts under 5-6 cm in early pregnancy. Most functional cysts resolve by 14 weeks, rarely causing complications in pregnancy or labor.
Area of Science:
- Reproductive Medicine
- Obstetrics
- Gynecologic Oncology
Background:
- Ovarian cysts are common during pregnancy, necessitating evaluation of their impact on pregnancy outcomes.
- Understanding the behavior of functional ovarian cysts is crucial for appropriate management during gestation.
Observation:
- A study followed 23 pregnant women with ovarian cysts (<5-6 cm) diagnosed in the first trimester.
- Sonographic changes of cysts were correlated with pregnancy outcomes over a two-year period.
Findings:
- Sixteen of 23 pregnancies resulted in successful outcomes, including 12 normal vaginal deliveries and 4 cesarean sections.
- Seven pregnancies required surgical intervention, with 3 elective terminations due to non-viable pregnancies.
- Persistent cysts, including serous and mucinous cystadenomas, were noted in some cases requiring intervention.
Implications:
- Ovarian cysts diagnosed in early pregnancy, particularly functional types, typically resolve by 14 weeks gestation.
- Cysts <5-6 cm are unlikely to grow significantly after 14 weeks or complicate pregnancy and labor.
- Conservative management is often effective, but persistent or complex cysts may require surgical consideration.