PERINATAL PECULIARITIES IN WOMEN WITH BENIGN OVARIAN TUMORS

PERINATAL PECULIARITIES IN WOMEN WITH BENIGN OVARIAN TUMORS DOI: https://doi.org/10.31435/rsglobal_ws/30082021/7658Keywords: pregnancy, ovarian cysts, ultrasonography, obstetrical complicationsAbstract Ovarian tumors may be found in women of any age and the period of pregnancy is no exception. Besides, this period is related to some specific adnexal tumors. A systematic use of ultrasonography in the first trimester of pregnancy has led to a wider detection of symptomless adnexal tumors. The majority of adnexal tumors diagnosed during pregnancy are accidental findings of routine examinations of pregnancy. According to various estimations, the incidence of adnexal neoplasms during pregnancy makes up from 0.19 to 8.8 %. Most of cases are diagnosed in the first trimester and their incidence gradually decreases as the period of pregnancy grows: Trimester 1 – from 21.4 to 75.7 %; Trimester 2 – from 10.9 to 44.4 %; Trimester 3 – from 4 to 22.2 %; after labor – from 0 to 7.1 %. Most of adnexal tumors during pregnancy are benign and physiological and often regress spontaneously. Depending on their size and location, ovarian tumors may be related to an adverse obstetrical result caused by mechanical influence. They increase the risk of abortion (from 0 to 6 %), preterm labor (from 5.8 to 10.4 %) and mechanical impediment to labor. In view of the above mentioned considerations, one of the objectives of our research is to make a retrospective analysis of perinatal peculiarities in women with benign ovarian neoplasms. References Sherard, G.B.3rd, Hodson, C.A., Williams, H.J., Semer, D.A., Hadi, H.A., & Tait, D.L. (2003). Adnexal masses and pregnancy: a 12-year experience. Am. J. Obstet. Gynecol., 189, 358-362. Schmeler, K.M., Mayo-Smith, W.W., Peipert, J.F., Weitzen, S., Manuel, M.D., & Gordinier, M.E. (2005). Adnexal masses in pregnancy: Surgery compared with observation. Obstet. Gynecol. 105, 1098-1103. Condous, G., Khalid, A., Okaro, E., & Bourne, T. (2004). Should we be examining the ovaries in pregnancy? Prevalence and natural history of adnexal pathology detected at first-trimester sonography. Ultrasound Obstet. Gynecol., 24 (1), 62-66. Benaglia L., Bermejo A., Somigliana, E., Scarduelli, C., Ragni, G., Fedele, L., & Garcia-Velasco, J.A. (2012). Pregnancy outcome in women with endometriomas achieving pregnancy through IVF. Hum. Reprod., 27 (6), 1663-1667. Kryvokulskyi, B.D., Kryvokulskyi, D.B., & Zhulkevych, I.V. (2014). Dynamika zmin hemostatychnoho potentsialu na operatsiinomu etapi likuvannia patsiientiv z pukhlynnymy zakhvoriuvanniamy zhinochoi statevoi systemy [Dynamics of changer of memostatic potential on the operational phase of the treatment of patients with malignant diseases of the female reproductive system]. Shpytalna khirurhiia – Hospital Surgery, 4, 92-96 [in Ukrainian]. Arena, S., Canonico, S., Luzi, G., Epicoco, G., Brusco, G.F., & Affronti, G. (2009). Ovarian torsion in in vitro fertilization-induced twin pregnancy: combination of Doppler ultrasound and laparoscopy in diagnosis and treatment can quickly solve the case. Fertil. Steril, 92 (4), 1496.e9- 13. DOI:0.1016/j.fertnstert.2009.06.029. Benaglia L., Somigliana E., Calzolari, L., Busnelli, A., Cardellicchio, L., Ragni, G., & Fedele, L. (2013). The vanishing endometrioma: the intriguing impact of pregnancy on small endometriotic ovarian cysts. Gynecol. Endocrinol., 29 (9), 863-866. Fruscella, E., Testa, A.C., Ferrandina, G., Manfredi, R., Zannoni, G.F., Ludovisi, M., Malaggese, M., & Scambia, G. (2004). Sonographic features of decidualized ovarian endometriosis suspicious for malignancy. Ultrasound Obstet. Gynecol., 24 (5), 578-580. Guerriero, S., Ajossa, S., Piras, S., Parodo, G., & Melis, G. B. (2005). Serial ultrasonographic evaluation of a decidualized endometrioma in pregnancy. Ultrasound Obstet. Gynecol., 26 (3), 304-306. Downloads Published Issue Section License All articles are published in open-access and licensed under a Creative Commons Attribution 4.0 International License (CC BY 4.0). Hence, authors retain copyright to the content of the articles. CC BY 4.0 License allows content to be copied, adapted, displayed, distributed, re-published or otherwise re-used for any purpose including for adaptation and commercial use provided the content is attributed.