Can a pregnant woman with teratoma give birth naturally?

Can pregnant women with teratoma give birth naturally? This is a topic of concern to many female friends. Experts say that it depends on the situation. Generally, pregnancy with teratoma is a high-risk factor, and a comprehensive assessment is required for a natural birth. In the late pregnancy, it can cause abnormal fetal position, and the tumor is prone to rupture during delivery. If the tumor is located low, it can block the birth canal and cause dystocia. For example, during the process of waiting for delivery, if the doctor finds that the pelvis is narrow and a natural birth is impossible, then only a cesarean section can be performed. During the operation, the teratoma can also be removed at the same time.

1. How should I deal with ovarian teratoma found during pregnancy? Can I have surgery? Does anesthesia have any effect on the fetus?

Some patients do not have a careful examination before pregnancy, and they find that they have an adnexal mass after they become pregnant. At this time, they need to be treated with extra caution. Generally speaking, for patients in early pregnancy, if the mass is relatively large (more than 5 cm), or it is impossible to determine whether it is benign or malignant, surgery is recommended. You can choose to have the surgery after 3 months of pregnancy. The chance of miscarriage at this time is relatively small. Generally speaking, the cyst can be removed minimally invasively through laparoscopic surgery. It is recommended that the surgery be performed before 18 to 20 weeks, when the uterus is not too large to affect the surgical field of view. Whether the surgery uses general anesthesia or combined spinal-epidural anesthesia (a type of local block anesthesia), it is safe for the fetus.

2. Can the ovarian teratoma be removed during delivery? Are there any risks in doing so?

Of course, if the lump is not discovered until the late pregnancy, or is considered to be a benign lump in the early stage, close observation until the late pregnancy can also be performed at the same time as cesarean section. The risk is that the pedicle may twist or rupture during the observation process, causing abdominal pain and requiring surgery; a very small number of patients may delay treatment because the tumor is malignant.

Although teratoma is not very big, it still affects people's health. It is definitely a good thing if it can be discovered early. If it is discovered, it should be treated early. Don't delay it until it gets worse. Your body is your own. Only you know how to take care of it. I hope you are healthy. Thank you for your visit. Thank you!