A retrospective study of ovarian cysts in pregnancy

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Abstract
Summary A 10 year retrospective analysis (1968-1978) of pregnancies complicated by ovarian cysts at the Birmingham Maternity Hospital was performed. The overall incidence of this complication was 0-14 per cent. In 23 out of a total of 62 cases an ovarian tumour was an incidental finding at caesarean section or postpartum sterilisation. Ten cases presented as emergencies, 7 in the first trimester, and in 6 cases obstructed labour occurred. In 2 cases ovarian malignancy was diagnosed. It is concluded that current practice of elective removal in the mid-trimester will not significantly reduce the incidence of acute accidents but is justified to exclude possible malignancy. The high ‘incidental finding’ rate suggests that ovarian tumours are more common than was originally thought.

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