• The clinical course of pregnancy and labors at the women operated concerning neoplasms of ovaries
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The clinical course of pregnancy and labors at the women operated concerning neoplasms of ovaries

HEALTH OF WOMAN. 2019.10(146): 69–71; doi 10.15574/HW.2019.146.69
Boyko A. V.
Sumy State University Medical University, MES of Ukraine,
Shupyk National Medical Academy of Postgraduate Education MH of Ukraine, Kyiv

The objective: to study features of course of pregnancy and labors at the women operated concerning neoplasms of ovaries.
Materials and methods. 90 pregnant women with neoplasms of ovaries were surveyed. All pregnant women were divided into 3 studied groups: 1 group – 30 women with neoplasms of ovaries by which surgical treatment is executed in various durations of gestation; The 2nd group – the 30 women with neoplasms of ovaries by which surgical treatment is executed during Cesarean section; The 3rd group – 30 women with neoplasms of ovaries by which surgical treatment is executed in various terms after spontaneous labors. Also 30 women with normally proceeding pregnancy without neoplasms of the ovaries, made control group were surveyed.
Results. The risk of development of premature births was higher when performing a surgical intervention in ІІІ in comparison with ІІ gestation trimester (the relation of chances 10.7; 96% confidential interval 1.36–83.49); when performing operation by any access after 24 weeks of a gestation (the relation of chances 4.18; 94% confidential interval 0.95–18.49); when performing operation by laparotomny in comparison with laparoscopic access (the relation of chances 7.7; 96% confidential interval 1.99–30.81), and also in the presence of symptoms of accompanying placental dysfunction (the relation of chances 17.6; 96% confidential interval 3.31–92.11).
Conclusion. The received results needs to be considered when developing tactics of conducting pregnancy and labors at women with neoplasms of ovaries.
Key words: neoplasms of ovaries, pregnancy, labors.

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