Pregnancy outcome among pregnant women with uterine fibroids
European Journal of Molecular & Clinical Medicine,
2022, Volume 9, Issue 6, Pages 995-999
AbstractBackground: The present study was conducted for assessing the pregnancy outcome among pregnant women with uterine fibroids.
Materials & methods: A total of 50 pregnant subjects were enrolled. Complete demographic and clinical details of all the subjects was obtained. Routine investigations were carried out in all the patients. Only those subjects were enrolled in the present study that had fibroids of more than 2 cm in diameter. They were followed during antenatal period clinically and scanned by ultrasonogram which was done at booking visit and during subsequent visits to assess the change in the size of the fibroid and other obstetric complications. Maternal age, parity, size of fibroid, complications during pregnancy, and mode of delivery were noted.
Results: Threatened miscarriage was seen in 24 percent of the subjects while preterm labor was seen in 20 percent of the subjects. Antepartum bleeding and abdominal pain needing admission was seen in 2 percent of the patients each. Postpartum haemorrhage was seen in 4 percent of the patients while one patient required blood transfusion. Spontaneous pregnancy was seen in 4 percent of the patients, while premature delivery was seen in 30 percent of the patients. Vaginal delivery and C section were seen in 6 percent and 94 percent of the patients. Congenital anomaly was seen in 4 percent of the patients while NICU admission was seen in 1 patient.
Conclusion: From the above results, authors concluded that pregnant subjectswith fibroids were subjected to enhanced incidence of complications throughout antepartum, intrapartum, and postpartum period.
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