Clinical and statistical analysis of the frequency of benign ovarian pathology detection during pregnancy
Keywords:clinical and statistical analysis, detection frequency, benign ovarian pathology, pregnancy
AbstractThe aim is to conduct clinical and statistical analysis of the frequency of benign ovarian pathology detection during pregnancy based on data from pregnancy and childbirth histories in obstetric clinics of the State Institution «Institute of Pediatrics, Obstetrics and Gynecology named after academician O.M. Lukyanova of the NAMS of Ukraine» during 2009–2018.
Patients and methods. 51 histories of pregnancy and childbirth in women with the first-time detected benign ovarian pathology in the pregnancy were analyzed during 2009-2018. For clinical and statistical analysis, a special questionnaire has been developed.
Results. Concomitant somatic pathology was registered in 39 (76.5%) pregnant women. A history of gynecological diseases was detected in 30 (58.8%) women. By type: simple ovarian cysts, dermoid and serous cysts predominated. The onset of menarche in patients was recorded at the age of 12–13 years: at 12 years old — in 15 (29.4%) patients, at 13 years old — in 14 (27.5%) women. Among pregnancy complications, the threat of termination of pregnancy prevailed in 19 (37.3%) patients. The pregnancy ended in childbirth in 26 (51%) patients. All deliveries were timely: 37–40 weeks. It should be noted that natural childbirth took place in 15 (29.4%) women. Surgical delivery was performed in 11 (21.56%) patients. Surgery during pregnancy with pregnancy preservation was performed in 4 (7.8%) cases.
Conclusions. Department of Operative Gynecology in the structure of the State Institution «Institute of Pediatrics, Obstetrics and Gynecology Named after academician O.M. Lukyanova of the NAMS of Ukraine» allows to perform surgical interventions during pregnancy with its preservation, which meets international standards and allows patients to safely go through their pregnancy and feel the joy of motherhood.
The research was carried out in accordance with the principles of the Helsinki Declaration. The study protocol was approved by the Local Ethics Committee of this Institute. The informed consent of the patient was obtained for conducting the studies.
No conflict of interest were declared by the authors.
Bignardi T, Condous G. (2009). The management of ovarian pathology in pregnancy, Best Practice and Research: Clinical Obstetrics and Gynaecology. 23 (4): 539—548. https://doi.org/10.1016/j.bpobgyn.2009.01.009; PMid:19230784
Goh W, Bohrer J, Zalud I. (2014). Management of the adnexal mass in pregnancy. Curr Opin Obstet Gynecol. 26: 49—53. https://doi.org/10.1097/GCO.0000000000000048; PMid:24614018
Mukhopadhyay A, Shinde A, Naik R. (2015). Ovarian cysts and cancer in pregnancy. Best Pract Res Clin Obstet Gynaecol. 33: 1—15. https://doi.org/10.1016/j.bpobgyn.2015.10.015; PMid:26707193
Runowicz CD, Brewer M, Barbieir RL (Ed), UpToDate. (2015). Adnexal mass in pregnancy. Google Scholar.
Hoover K, Jenkins TR. (2011 Aug). Evaluation and management of adnexal mass in pregnancy. Am J Obstet Gynecol. 205 (2): 97—102. https://doi.org/10.1016/j.ajog.2011.01.050; PMid:21571247
Yacobozzi M, Nguyen D, Rakita D. (2012 Feb). Semin Ultrasound CT MR. 33 (1): 55—64. https://doi.org/10.1053/j.sult.2011.10.004; PMid:22264903
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