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<p>The Royal College of Obstetricians and Gynaecologists currently publish guidelines
for the management of ovarian cysts in both pre- and post-menopausal women. The presence
of an ovarian cyst can come to light during pregnancy either because of symptoms or
as an incidental finding during routine ultrasonography.</p><p>Ovarian cysts are common
in pregnancy and are usually small and of no clinical significance. While the guidelines
do not specifically include pregnant women, care in pregnancy is largely the same
as outside pregnancy in that it is individualised depending on clinical presentation
and whether ultrasound scans identify concerning features requiring further investigation
or intervention. Where appropriate, surgical intervention occurs after delivery of
the baby, although can occur during pregnancy when urgent. Optimal care is provided
by multidisciplinary teams involving gynaecology, radiology, obstetric and midwifery
input.</p>
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