title: Successful pregnancy complicated by spontaneous, familial, recurrent ovarian hyperstimulation syndrome: report of two cases.
abstract: We here report two cases of spontaneous, familial, recurrent ovarian hyperstimulation syndrome ended in a successful pregnancy. First case was a 26-year-old woman, gravida 3 para 0 and two previous terminations of pregnancy due to spontaneous ovarian hyperstimulation syndrome (OHSS). During her pregnancy, patient was treated with IV fluid therapy, albumin and thromboembolic prophylaxis and required pleural and peritoneal drainage. She was referred to the hospital twice, at 8 and 28 weeks'. At 32 weeks due to worsening of clinical condition, decision was made for a caesarean section. A live, healthy preterm baby of 1950 g was delivered. Second case was a 27-year-old woman, gravida 2 para 0 with one previous termination of pregnancy due to spontaneous OHSS. During her pregnancy patient was treated with IV fluid therapy, albumin, and thromboembolic prophylaxis. She did not require any pleural or peritoneal drainage. She was referred to the hospital twice, at 8 and 30 weeks. At 37 weeks of gestation, due to worsening of clinical condition decision for a caesarean section was made. A live, healthy term baby of 2700 g was delivered. Our experience seems to confirm that management of spontaneous OHSS during pregnancy should be conservative and treatment tailored to severity of symptoms.
authors: Department of Obstetrics and Gynecology, University of Naples Federico II, Via S. Pansini 5, Naples, Italy. costantino.dicarlo@unina.it
authors: Costantino
authors: C
authors: Di Carlo
authors: Fabiana
authors: F
authors: Savoia
authors: Virginia
authors: V
authors: Gargano
authors: Stefania
authors: S
authors: Sparice
authors: Giuseppe
authors: G
authors: Bifulco
authors: Carmine
authors: C
authors: Nappi
mesh_terms: D000328:Adult; D002585:Cesarean Section; D005260:Female; D006760:Hospitalization; D006801:Humans; D007231:Infant, Newborn; D050498:Live Birth; D016471:Ovarian Hyperstimulation Syndrome / Q000150:complications* / Q000628:therapy*; D011247:Pregnancy; D011248:Pregnancy Complications / Q000209:etiology* / Q000628:therapy*; D016896:Treatment Outcome