Shirin Niroumanesh; Fatemeh Mirzaei
Volume 4, Issue 4 , September 2009, , Pages 182-185
Abstract
Background and Objectives: The diagnosis of pregnancy associated adnexal masses is rising due to routine utilization of sonography in prenatal care. The purpose of this study was to describe pregnancy associated adnexal masses over a period of 10 years. Patients and Methods: A retrospective study was ...
Read More
Background and Objectives: The diagnosis of pregnancy associated adnexal masses is rising due to routine utilization of sonography in prenatal care. The purpose of this study was to describe pregnancy associated adnexal masses over a period of 10 years. Patients and Methods: A retrospective study was reviewed hospital records of all pregnant women with adnexal mass that underwent surgical resection in Mirza Kuchak Khan Hospital in Tehran from January 1996 to March 2006. The collected data included maternal age, parity, gestational age at diagnosis, surgery and delivery, presenting symptoms and treatment. The pregnancy outcome complications and histological findings were reviewed. Results: Totally 29220 deliveries were performed in our institution; adnexal masses were detected in 0.01% of pregnancies. Antepartum surgery was performed in 4 (10.3%) patients. The mean gestational age at delivery in patients undergoing surgery during pregnancy was 36 weeks (ranged 36-37 weeks) while in patients with cystectomy during cesarean delivery was 38 weeks (range: 33-40) (P=0.04). There were no statistically significant differences in birth weight between the patients undergoing surgery during pregnancy and those with surgery at cesarean delivery (P=0.176). The mean cyst diameter was 11 cm (range 4-16 cm) for patients operated during pregnancy while it was 4 cm (2.5-12 cm) for those undergoing surgery during cesarean delivery (P=0.006). The most common diagnosis was benign serous cyst (23.1%) followed by benign Dermoid cyst (20.5%). Conclusion: Patients undergoing laparotomy for adnexal mass during pregnancy had higher risk of preterm labor but there were no difference in birth weight.
Alireza Abdollahi; Sedighe Borna; Fatemeh Mirzaei; Akram Sarbiaei
Volume 4, Issue 1 , January 2009, , Pages 5-8
Abstract
Background and Objectives: Preterm labor is a serious problem in obstetrics, accounting for 70% of perinatal mortality. High sensitive C - reactive protein (HS-CRP) is a sensitive marker of Inflammation. Our aim in this study was to determine Amniotic fluid hs-CRP concentration and its correlation ...
Read More
Background and Objectives: Preterm labor is a serious problem in obstetrics, accounting for 70% of perinatal mortality. High sensitive C - reactive protein (HS-CRP) is a sensitive marker of Inflammation. Our aim in this study was to determine Amniotic fluid hs-CRP concentration and its correlation with pre-Term delivery. Materials and methods: This prospective study was conducted on 90 pregnant women who underwent genetic amniocentesis between the 15th and 20th weeks of gestation. All patients were followed until delivery. Pateints with abnormal karyotype and iatrogenic preterm delivery for fetal and maternal indications were excluded. The samples were carried immediately to the laboratory of Imam Khomaini Hospital Complex, Tehran, Iran for cytogenetic examination and tested for HS-CRP by turbidimetric method. Non parametric tests and receiver-operating characteristics curve analysis were used for statistical purpose. Results: The study showed no correlation between amniotic fluid HS-CRP concentrations with preterm delivery. Maternal serum alpha-fetoprotein (AFP) levels were higher in patients delivered preterm compared with term deliveries (P=0.036). Conclusion: Our results implicated that HS-CRP like other acute phase response markers was not as a possible risk marker of preterm delivery.