- Clinical and Statistical Analysis of the Frequency of Benign Ovarian Pathology Detection during Pregnancy (Based on the Histories of Pregnancies and Childbirth in Obstetric Clinics of SI «Institute of Pediatrics, Obstetrics and Gynecology named after acad. O.M. Lukyanova of the NAMS of Ukraine» during 2009-2018)
Clinical and Statistical Analysis of the Frequency of Benign Ovarian Pathology Detection during Pregnancy (Based on the Histories of Pregnancies and Childbirth in Obstetric Clinics of SI «Institute of Pediatrics, Obstetrics and Gynecology named after acad. O.M. Lukyanova of the NAMS of Ukraine» during 2009-2018)
Ukrainian Journal of Perinatology and Pediatrics. 2020. 1(81): 7-12; doi 10.15574/PP.2020.81.7
Dronova V. L.1, Dronov O. I.1,2,3, Mokryk O. M.1, Bakunets P. P.1,2,3
1SI «Institute of Pediatrics, Obstetrics and Gynecology named after academician O. Lukyanova of the National Academy of Medical Sciences of Ukraine», Kyiv
2Bogomolets National Medical University, Kyiv, Ukraine
3Kyiv City Clinical Hospital No. 10, Ukraine
For citation: Dronova VL, Dronov OI, Mokryk OM, Bakunets PP. (2020). Clinical and Statistical Analysis of the Frequency of Benign Ovarian Pathology Detection during Pregnancy (Based on the Histories of Pregnancies and Childbirth in Obstetric Clinics of SI «Institute of Pediatrics, Obstetrics and Gynecology named after acad. O.M. Lukyanova of the NAMS of Ukraine» during 2009–2018). Ukrainian Journal of Perinatology and Pediatrics. 1(81): 7–12. doi 10.15574/PP.2020.81.7
Article received: Nov 11, 2019. Accepted for publication: Mar 13, 2020.
The 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.
Key words: clinical and statistical analysis, detection frequency, benign ovarian pathology, pregnancy.
REFERENСES
1. 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
2. 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
3. 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
4. Runowicz CD, Brewer M, Barbieir RL (Ed), UpToDate. (2015). Adnexal mass in pregnancy. Google Scholar.
5. 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
6. 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