@article{Ambreen_Anwar_Hussain_2010, title={Maternal and Fetal Outcome of Pregnancies Complicated by Ovarian Tumor}, volume={16}, url={https://www.annalskemu.org/journal/index.php/annals/article/view/127}, DOI={10.21649/akemu.v16i1.127}, abstractNote={<p><strong>Introduction:  </strong>Ovarian tumors when occur, endanger two lives, mother and that of fetus. It becomes a therapeutic challenge to evaluate the necessity of immediate intervention for maternal indication versus delaying therapy for fetal indication.<sup>1</sup> Majority of these cysts are benign and usually are functional cysts, dermoid or cystadenomas.<sup>2</sup> 2-5%of adnexal masses during pregnancy are true malignant neoplasms.<sup>3</sup> Ovarian cancer being the second most frequent gynaecological cancer compli-cating pregnancy has an average estimated incidence of 1 in 2500 deliveries.<sup>4</sup> Keeping in view all that, a study was conducted in Fatima Memorial Hospital to see maternal and fetal outcome of pregnancies complicated by ovarian tumors.</p> <p><strong>Objective:  </strong>To determine the maternal and fetal outcome of pregnancies complicated by ovarian tumors.</p> <p><strong>Study Design:  </strong>Case series descriptive study.</p> <p><strong>Setting:  </strong>The study was conducted in obstetrics and gynaecology department of Fatima Memorial Hospital, Lahore.</p> <p><strong>Duration of Study:</strong>  This study was conducted for one year.</p> <p><strong>Subjects and Method:  </strong>All 14500 pregnant ladies, who visited antenatal clinic and emergency of Fatima Memorial Hospital Lahore for one year, were considered to sort out pregnancies complicated by a co-existent ovarian mass of > 5 cm.<strong></strong></p> <p><strong>Results:  </strong>Of all 36 patients, included in current study, 24 had surgical and 12 had conservative management<strong>.</strong> Obstetric out-come revealed one preterm delivery after conservative management. Surgical intervention resulted in two abortions, two pre-term and twenty term deliveries. In both groups, the ratio of abdominal and vaginal delivery was 1:2 respectively. Fetal outcome revealed only one preterm and one IUGR infant in conservative group while surgically managed group revealed two preterm infants, two IUGR and one infant with septicemia.</p> <p><strong>Conclusion:  </strong>Surgical intervention is a reasonable approach to deal with cases of ovarian tumors with pregnancy, but con-servative management may also have comparable obstetric outcome provided the selection criteria for patient is, asympto-matic ovarian mass of less than 8cm that is not suspected of malignancy.<strong></strong></p> <p><strong>Key Words:</strong>  Ovarian tumors, Pregnancy, Neoplasm, Cyst, Cancer, Septicemia.</p>}, number={1}, journal={Annals of King Edward Medical University}, author={Ambreen, A and Anwar, K and Hussain, A}, year={2010}, month={Jun.}, pages={5} }