Ovarian cyst in post paum patient, treatment is :
If the delivery is vaginal,a laprotomy can be done after 24 hrs,as this is the period at which high risk of aboion. Refer page no 223 of Text book of obsteics,sheila balakrishnan,2 nd edition. The ovarian tumour discovered during pregnancy is an enlarged corpus luteal cyst, a benign as well as a malignant tumour. An asymptomatic tumour is discovered during routine ultrasound scanning in early pregnancy. Symptomatic tumour however presents with abdominal pain in pregnancy. Corpus luteal cyst regresses after the 12th week and can therefore be observed. The benign tumour should be removed in the second trimester between the 14th and 16th week. Earlier surgery may increase the risk of aboion. In the third trimester surgical difficulty because of the growing uterus; preterm labour is also a possibility. The tumour discovered late in pregnancy should be removed in early puerperium to avoid torsion and infection. The malignant ovarian tumour requires laparotomy at the earliest, irrespective of the duration of pregnancy. Reference: Shaw's Textbook of Gynaecology,16th edition page no 451
Immediate removal
Removal after 2 weeks
Removal after 6 weeks
Removal after 3 months
Medical, surgical and gynaecological illness complicating pregnancy