THE FEATURES OF PRETERM PERIOD AND DELIVERY IN PPATIENTS WITH BENIGN OVARIAN NEOPLASMS

A. V. Kalashnik, L. N. Shcherbakova, M. V. Alexeenkova, О.Б. Панина
In: Surgical practice · 2020 · pp. 64–71 · doi:10.38181/2223-2427-2020-1-64-71 · W3036716622
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Abstract

Abstract : Nowadays medical society is facing increasing numbers of adnexal masses in women of reproductive age, and especially challenging for the diagnostic workup and management are such cases during the pregnancy. Our study has a primary focus on the specific features of the pregnancy and delivery in patients with benign ovarian neoplasms. Materials and methods : This is a retrospective study that included 88 pregnant patients with benign ovarian neoplasms that delivered in our facility during the period from 2014 to 2016. The patients were divided into two groups, the 1st group included 45 pregnant women with endometrioid ovarian cysts, the 2nd group consisted of 43 pregnant women with cystadenomas and ovarian teratomas. As a control group, we used cumulative statistical data from our facility and several related organizations, representing the general population. Results : It was observed, that the odds ratio of the threatened miscarriage and the threat of preterm delivery was significantly higher in patients with endometrioid ovarian cysts compared to the general population. However, the frequency of complications of the preterm period and delivery in patients with cystadenomas and ovarian teratomas showed no significant difference, compared to populational data. There were no significant differences in complications between patients with endometrioid ovarian cysts and cystadenomas / ovarian teratomas. Conclusion : Our research provides additional data on pregnancies with adnexal masses, which can help in the prevention of complications and choosing the modality of treatment in pregnant patients.

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