Fibroid uterus and its impact on feto-maternal outcome in pregnancy: A prospective study
European Journal of Molecular & Clinical Medicine,
2020, Volume 7, Issue 10, Pages 4396-4401
AbstractAim: to determine the maternal and fetal outcome in pregnancy complicated by fibroid uterus.
Material and methods: A prospective study was conducted in the Department of Obstetrics and Gynecology, Teerthanker Mahaveer Medical College & Research Centre, Moradabad, Uttar Pradesh, India, for 1 year. Total 100 women admitted with the diagnosis fibroid with pregnancy during our study period were included. Ultrasonogram done at booking visit and patients with fibroid of 5 cm and above were included in the study.
Results: Total 100 women who were having pregnancy with fibroids were included. The mean age in our study population is 28.7 years. Fibroids were more frequent in multigravidae 74 (74%), and primigravidae were 26 (26%). 38(38%) women were asymptomatic during pregnancy. Out of 100 women, 28 (28) were known the case of fibroid became pregnant, remaining 72 (72%) were diagnosed as having fibroid during routine antenatal visits. 23 women (23%) had pain, 13 of them (13%) had threatened preterm labor, 10 (10%) had spontaneous miscarriage, and 7(7%) had anemia, and placenta previa was diagnosed in 9 (9%).
Conclusion: Pregnancies with fibroids are associated with complications during antepartum, intrapartum, and PP period. They need frequent follow-up and evaluation. Most of the fibroids are asymptomatic, but may adversely affect the course of pregnancy and labor depending on their location and size.
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