Myoma praevia and pregnancy

Krimou, Yousra; Erraghay, Sanae; Guennoun, Ahmed; Mamouni, Nisrine; Bouchikhi, C.; Banani, Abdelaziz

doi:10.11604/pamj.2019.33.216.14898

Cited by 10 publications

(8 citation statements)

References 17 publications

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“…Preterm deliveries (10.5%) were recorded in the women we studied. This was similar in other studies on coexisting fibroid in pregnancy [11,12,13,14].Though uterine fibroids do not appear to increase the incidence of preterm premature rupture of membranes, other studies show the opposite [21,22]. There was no premature rupture of membranes in our study.…”

Section: Discussionsupporting

confidence: 92%

“…Others are increased caesarean delivery, prolonged or obstructed labour, uterine rupture, ante partum, intra partum and post partum haemorrhage as well as uterine inversion and puerperal sepsis [9,11]. The babies are prone to early fetal loss, prematurity, fetal distress, newborn special care unit admission, perinatal morbidity and mortality [11,12,13,14].…”

Section: Introductionmentioning

confidence: 99%

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Coexisting fibroid in pregnancy and its labour outcome in Nigeria

ANI¹,

OGABIDO²,

Okpala³

2022

World J. Adv. Res. Rev.

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The management of coexisting uterine fibroid in pregnancy is controversial. There is the need to know the labour outcome of women with coexisting fibroid in pregnancy in our environment. Objective: To ascertain the labour outcome of coexisting fibroid in pregnancy and the prevalence. Materials and Method: The study is a retrospective one that reviewed 48 women with coexisting fibroid in pregnancy over a 30 month period. Result: Out of 612 women that had antenatal care and delivery in our area of study, 48 of them had coexisting fibroid in pregnancy giving a prevalence of 7.8%. The mean age of the parturients was 32.38 ± 5.22 years and most of the parturients were primiparous (56.3%). Up to 89.5% of them delivered at term and 89.6% of their babies had normal birth weight with good APGAR score in 79.2% of them. Their caesarean delivery rate was 79.2% and 2 successful caesarean myomectomies were done. Conclusion: Fibroid can coexist with pregnancy with good outcome but they are prone to high caesarean delivery rate and at risk of uterine rupture. A low prevalence was recorded in our study and caesarean myomectomy is feasible in selected cases.

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Section: Discussionsupporting

confidence: 92%

Section: Introductionmentioning

confidence: 99%

Coexisting fibroid in pregnancy and its labour outcome in Nigeria

ANI¹,

OGABIDO²,

Okpala³

2022

World J. Adv. Res. Rev.

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“…The association of myoma and pregnancy is becoming more frequent due to the advanced maternal age. 16 In our study, 14.5% of 172 pregnant women had uterine fibroids with a diameter < 5 cm.…”

Section: Discussionmentioning

confidence: 50%

The Effect of Small Size Uterine Fibroids on Pregnancy Outcomes in High-risk Pregnancies

Çağan¹,

Dönmez

Fadıloğlu³

et al. 2020

Rev Bras Ginecol Obstet

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Objective To evaluate the obstetric outcomes of singleton high-risk pregnancies with a small size uterine fibroid. Methods This retrospective cohort study was conducted among 172 high-risk pregnant women who were followed-up by a single surgeon between 2016 and 2019. Pregnant women with preconceptionally diagnosed small size (< 5 cm) single uterine fibroids (n = 25) were compared with pregnant women without uterine fibroids (n = 147) in terms of obstetric outcomes. Results There was no statistically significant difference between the groups in terms of adverse pregnancy outcomes. The size of the fibroids was increased in 60% of the cases, and the growth percentage of the fibroids was 25% during pregnancy. Intrapartum and short-term complication was not observed in women who underwent cesarean myomectomy. Conclusion Small size uterine fibroids seem to have no adverse effect on pregnancy outcomes even in high-risk pregnancies, and cesarean myomectomy may be safely performed in properly selected cases.

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“…In addition, most studies indicate the possibility of progressive growth of leiomyomas during pregnancy, which may be due to changes in hormone levels. The authors of scientific works note that the average increase in the volume of the fibroid is 12.6 %, while the maximum indicators can reach 25 % of the initial values [2]. In this regard, Vergani et al (2007) in their retrospective cohort study found that the risk of cesarean section before labor could increase by 26 % for every 1 cm increase in leiomyoma diameter [7].…”

Section: Introductionmentioning

confidence: 99%

“…Norwitz (2014), the prevalence of uterine leiomyoma among pregnant women reaches up to 10.7 %, depending on the trimester of pregnancy, while in women aged 35 to 42 years, the incidence increases by 20 % (from 19 to 25 years oldup to 12 %, from 35 to 42 years oldup to 32 %). This is due to an increase in the number of late pregnancies, which may be complicated by the presence of fibroids or previous myomectomy [1][2][3]. In addition, most studies indicate the possibility of progressive growth of leiomyomas during pregnancy, which may be due to changes in hormone levels.…”

Section: Introductionmentioning

confidence: 99%

Clinical case of delivery of a pregnant woman with large uterine leiomyoma and rehabilitation in the postoperative period

Garahulya,

Demchenko,

Khaskhachikh

et al. 2023

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Abstract. Uterine leiomyoma is a benign neoplasm of the smooth muscles of the uterus, which is one of the causes of infertility and miscarriage in women in the modern world. Delivery of pregnant women with large uterine leiomyoma is a current problem, since there is no single and clear opinion regarding the tactics of managing such patients. In the past, most specialists were inclined to perform hysterectomy after cesarean section, as they considered it the safest method of therapy, since myomectomy during cesarean section raised many questions related to complications during surgery and in the postoperative period. This article examines the modern view of specialists and the experience of the authors on organ-preserving tactics for the treatment of large uterine leiomyomas in women during pregnancy and delivery and analyzes rehabilitation in the postpartum period. The aim of the study. The aim of the study was to analyze scientific literature data on the advisability of performing myomectomy during cesarean section and combining the experience of other specialists with our own experience of delivery of pregnant woman with large uterine leiomyoma using a complex of intraoperative preventive measures. Materials and methods. A clinical case of delivery of a pregnant woman with large uterine leiomyoma and rehabilitation in the postoperative period is described. A systematic online study of articles on the topic of myomectomy during cesarean section was conducted. Results and discussion. Data from a significant number of works by other specialists indicate that preliminary substantiation of factors that may complicate surgical intervention (uterine contractility, anatomical localization, number and diameter of fibroids, as well as the presence of large vascular structures), the use of a set of preventive intraoperative measures and modern suture materials can reduce the amount of blood loss and prevent unfavorable postoperative results. Our proposed algorithm of action, including the administration of tranexamic acid before opening the anterior abdominal wall, a long-acting oxytocin agonist and the hemostatic sponge «Surgicel», allows us to minimize the amount of intraoperative bleeding and the risks of uncontrolled bleeding. It should also be noted that the addition of a cesarean section with myomectomy does not affect the course of rehabilitation in the postoperative period. Conclusions. Based on a study of literary sources over the past 10 years and our own research, we can conclude that myomectomy during cesarean section is advisable in the absence of contraindications. A combination of postoperative rehabilitation measures, tactics and techniques of surgical intervention, and prevention of intraoperative blood loss make it possible to ensure high-quality recovery for patients.

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Myoma praevia and pregnancy

Cited by 10 publications

References 17 publications

Coexisting fibroid in pregnancy and its labour outcome in Nigeria

Coexisting fibroid in pregnancy and its labour outcome in Nigeria

The Effect of Small Size Uterine Fibroids on Pregnancy Outcomes in High-risk Pregnancies

Clinical case of delivery of a pregnant woman with large uterine leiomyoma and rehabilitation in the postoperative period

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