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Ginekol Pol. 2019 Apr 25. doi: 10.5603/GP.a2019.0046. [Epub ahead of print]

Ophthalmological and obstetric management in pregnant women with retinal disorders.

Author information

1
Department of Ophthalmology, Military Institute of Medicine, Warsaw, Poland.
2
1st Chair and Department of Obstetrics and Gynecology, Medical University of Warsaw, Poland. michallipa1@gmail.com.
3
Department of Ophthalmology, Medical University of Warsaw, Warsaw, Poland.
4
1st Chair and Department of Obstetrics and Gynecology, Medical University of Warsaw, Poland.

Abstract

OBJECTIVES:

To analyze the clinical significance of ophthalmological assessment in pregnant women affected with degenerative retinal lesions, and the lesions' clinical relevance in determining the obstetric management and delivery method.

MATERIAL AND METHODS:

69 pregnant women affected with retinal degenerative lesions were included in our study. In each patient, the risk of ophthalmological complications during vaginal delivery was evaluated. After the woman's delivery, alignment between the ophthalmological recommendations and the obstetric management were analyzed. Each case where the management plan differed from the clinical proceedings was thoroughly investigated to determine the cause.

RESULTS:

In 69 pregnant women the risk of ophthalmological complications was evaluated, and in 24 cases (35%) assessed as low, as medium in 37 cases (54%) and as high in 8 cases (11%). Among the 69 patients, 42 of women delivered vaginally and the remaining 27 underwent caesarean section. In the high-risk group, the rate of caesarean section was 87%, while in both the low- and medium-risk groups the rate of vaginal births was 75%. Two years of postnatal ophthalmological follow-up did not reveal any complications that could have been associated with the delivery.

CONCLUSIONS:

Every pregnant woman should undergo ophtalmological examination to assess peripartum risk of complications and determine the method of delivery.

KEYWORDS:

caesarean section; laser photocoagulation; myopia; ophtalmological examination

PMID:
31020991
DOI:
10.5603/GP.a2019.0046
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