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Persistent Ovarian Masses and Pregnancy Outcomes.
MedLine Citation:
PMID:  23356452     Owner:  NLM     Status:  Publisher    
Abstract/OtherAbstract:
Abstract Objective: To determine if persistent ovarian masses in pregnancy are associated with increased adverse outcomes. Methods: This is a retrospective cohort of 126 pregnant women with a persistent ovarian mass measuring 5cm or greater who delivered at two university hospitals between 2001 and 2009. Maternal outcomes included gestational age at diagnosis, delivery and surgery as well as miscarriage, preterm birth (PTB), ovarian torsion and hospital admission for pain. Neonatal outcomes included birth weight, RDS, IVH, death and sepsis. Results: 1225 ovarian masses were identified (4.9%) in 24,868 patients. A persistent ovarian mass was found in 0.7%. Average gestational age at diagnosis was 17.8 weeks. Miscarriage rate was 3.3%. Average gestational age at delivery was 37.9weeks. 8.5% had ovarian torsion, 10.3% had admission for pain, and 9.3% had preterm births. The mean Cesarean delivery rate was 46.3%. The average neonatal weight was 3,273 grams. There was 1 neonatal death in this cohort. The rate of RDS was 2.8%, IVH 0.9%, and Neonatal sepsis 1.9%. The most common surgical pathologic diagnosis was dermoids (37.6%). No overt malignancies were seen. Conclusion: A persistent ovarian mass in pregnancy does not confer an increased risk of adverse pregnancy outcomes.
Authors:
William Goh; Monica Rincon; Justin Bohrer; Jorge E Tolosa; Roya Sohaey; Rene Riaño; James Davis; Ivica Zalud
Publication Detail:
Type:  JOURNAL ARTICLE     Date:  2013-1-28
Journal Detail:
Title:  The journal of maternal-fetal & neonatal medicine : the official journal of the European Association of Perinatal Medicine, the Federation of Asia and Oceania Perinatal Societies, the International Society of Perinatal Obstetricians     Volume:  -     ISSN:  1476-4954     ISO Abbreviation:  J. Matern. Fetal. Neonatal. Med.     Publication Date:  2013 Jan 
Date Detail:
Created Date:  2013-1-29     Completed Date:  -     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  101136916     Medline TA:  J Matern Fetal Neonatal Med     Country:  -    
Other Details:
Languages:  ENG     Pagination:  -     Citation Subset:  -    
Affiliation:
University of Hawaii John A. Burns School of Medicine, Obstetrics, Gynecology & Women's.
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