[Pregnancy complicated by ovarian cysts]. / Bremennost komplitsirana s ovarialni kisti.

OBJECTIVE: To study outcome of pregnancy complicated by ovarian cysts, clinical behavior of functional cysts, efficiency of conservative and operative management during pregnancy and labor. MATERIAL AND METHODS: Twenty-three women with diagnosed ovarian cysts less than 5-6 cm in the early first trimester of pregnancy were followed by a two year period (1999-2000). Relationship between the sonographically change of cysts and pregnancy outcome was determinate. RESULTS: In a group of 23 women with ovarian cysts, 16 were successful pregnancies as followed: 12 ended in normal vaginal deliveries and 4 delivered by cesarean (1 obstetric indicated; 2 persisted cysts--serous and mucinous custadenoma; 1 after operated in 18 gest. Week border line cystadenoma). Of the last 7 pregnancies were operated and 3 electively terminated (1 blighted ovum and 2 missed abortions). CONCLUSION: Ovarian cyst in first trimester of pregnancy with maximum size 5-6 cm usually were reached until the 7-8 week, maybe followed by functional corpus luteal cysts, involuated until 14 gest. Week, rarely persisting and isn't expected to grow after 14 gest. Week or to cause complication in pregnancy and labor.