Complications in pregnancy, labor, and delivery with uterine leiomyomas: a population-based study

Coronado, Gloria D.; Marshall, Lynn M.; Schwartz, Stephen M.

doi:10.1016/s0029-7844(99)00605-5

Cited by 227 publications

(239 citation statements)

References 6 publications

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“…Although the risk of hysterectomy has been demonstrated to be higher in women with fibroids 13,17,18 , the data on risk of postpartum haemorrhage are not consistent, with some studies demonstrating no increase in rates of haemorrhage 15,19 . The results from our study suggest that only the size and its location within the uterus influences the risk of haemorrhage.…”

Section: A C C E P T E D Accepted Manuscriptmentioning

confidence: 99%

The impact of fibroid characteristics on pregnancy outcome

Lam

Best

Kumar

2014

American Journal of Obstetrics and Gynecology

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Objective: To assess the influence of different characteristics of fibroids on pregnancy outcome.Study design: We identified women with fibroids ≥4 cm in size on ultrasonography at the dating scan between January 2002 and December 2012. The size (4-7cm, 7-10cm, >10cm), number (multiple/single), location (lower uterus/body of uterus) and type (intramural, combination of intramural/subserosal, subserosal) were ascertained. Medical records were reviewed to obtain pregnancy outcomes (preterm delivery, birth weight, mode of delivery, estimated blood loss, postpartum haemorrhage and admission for fibroid related pain).Results: 121 patients with 179 pregnancies were identified. Preterm delivery was more likely in those with multiple fibroids compared to single fibroids (18% v 6% p=0.05). The location of fibroid had an important effect on mode of delivery with a higher caesarean section rate for fibroids in the lower part of uterus than in the body of the uterus (86% v 40% p=0.01), a higher rate of postpartum haemorrhage (22% v 11%p=0.03) and greater estimated blood loss This information can be used to aid counselling women antenatally and in risk stratifying patients.

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Section: A C C E P T E D Accepted Manuscriptmentioning

confidence: 99%

The impact of fibroid characteristics on pregnancy outcome

Lam

Best

Kumar

2014

American Journal of Obstetrics and Gynecology

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“…And it is generally accepted that tocolytic agents used in pregnancy with myoma and preterm labor is not different from with only preterm labor. [19][20][21][22] In this case, the pregnant woman had low abdominal pain, mild fever, leukocytosis, and increased inflammatory markers. These symptoms and signs were similar to that of pregnancy with red degeneration of myoma.…”

Section: Discussionmentioning

confidence: 99%

Preterm delivery in a primigravida with uterine adenomyosis

Yoon

Kang

et al. 2010

Korean J Obstet Gynecol

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Adenomyosis has been well known to be associated with infertility, spontaneous rupture of the uterus during labor in a primiparous woman, spontaneous preterm labor, preterm premature rupture of membranes (PPROM), and delayed postpartum hemorrhage. We recently experienced a case of preterm delivery at 29 gestational weeks in a primigravid woman with uterine adenomyosis. We report the case of preterm delivery accompanied by various complications such as uncontrolled pain, preterm labor, and oligohydramnios in a woman with uterine adenomyosis.

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“…Interpreting spontaneous abortion rates after embolization is difficult because of confounding factors such as advanced maternal age and the large leiomyoma burden present in most embolization study cohorts. Spontaneous abortions are known to increase with maternal age, ranging from 18% in the late 30s to 34% in the early 40s in the general population (Coronado et al, 2000). The study of the British embolization cohort reported 20% rate of spontaneous abortions (Walker & Pelage, 2002), but lower than the 35% and 29% reported in the French Ciraru-Vigneron & Ravina, 2001) and American (McLucas et al, 2001) studies.…”

Section: Effects On Fertilitymentioning

confidence: 93%