Management of pregnancy with ovarian tumour

ABSTRACT

To study the maternal and fetal outcome of pregnancies complicated by ovarian tumours.Descriptive study. Gynaecology and Obstetrics Unit I, Dow University of Health Sciences and Civil Hospital Karachi, from January 2003 to December 2004. All patients who attended the antenatal clinic and Emergency Department of Civil Hospital Karachi, Gynaecology and Obstetrics Unit I, from January 2003 to December 2004, were included in the study, if pregnancy was complicated by a coexistent ovarian tumour of > 5cm. Fetal outcome after conservative or surgical management was noted. Thirty Six patients were enrolled in the study. Twenty-seven had surgical interventions and nine were managed conservatively. All patients with conservative management were asymptomatic. Obstetric outcome revealed only one preterm. delivery after conservative management but surgical intervention resulted in five abortions, three pretermand 19 term deliveries. Fetal outcome revealed comparable results in both the groups. There was only one preterm fetus in conservative group while surgically managed group produced three preterm fetuses. No still birth was noted in either group, however intra-uterine growth retardation [IUGR]found in three of the surgically managed group and one of conservative group. Surgical intervention is a reasonable approach to deal with cases of ovarian tumours with pregnancy, but conservative management also has comparable obstetric outcome if safe selection criteriafor mothers is defined