Successful Outcome of Pregnancy with Large Fibroid Uterus- A Case Report

Akhtar, Nasima; Sultana, Sayeeda; Zabin, Fahmida

doi:10.3329/bjog.v25i2.13746

Cited by 7 publications

(7 citation statements)

References 8 publications

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“…Incidence of fibroids increases with maternal age at pregnancy [2]. Fibroid less than 5 cm in diameter tend to remain stable or decrease in size [3][4][5] and, larger fibroids (>5 cm) tend to grow during the pregnancy [5]. The risk of adverse events in pregnancy increases with the size of the fibroid [6].…”

Section: Introductionmentioning

confidence: 99%

Case series: Pregnancy Outcome in Patients with Uterine Fibroids

Radhika

Naik

Shreelatha

et al. 2015

JCDR

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Section: Introductionmentioning

confidence: 99%

Case series: Pregnancy Outcome in Patients with Uterine Fibroids

Radhika

Naik

Shreelatha

et al. 2015

JCDR

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“…Ultrasonography is helpful not only in diagnosing the presence of fibroid with pregnancy, but also in finding out size, number and site of fibroids and their relation to the placenta 10-. Uterine fibroid during pregnancy is usually managed expectantly and surgically removal is generally delayed until after pregnancy 10 . Pedunculated fibroids can easily be removed and hemostasis secured at the time of cesarean delivery without endangering life of the mother.…”

Section: Discussionmentioning

confidence: 99%

Successful Outcome of Pregnancy of a Sub-fertile Woman with Multiple Fibroids and Placenta Praevia and Accreta

Sultana¹,

Akhter²,

Ak³

et al. 2014

J. Bangladesh Coll. Phys.

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Fibroids, the commonest benign pelvic tumor, have a common association with subfertility and increasing maternal age. Placenta praevia and fibroid (if submucous) has an association with placenta accreta. Here we report the case of an elderly primigravida with history of prolong subfertility, admitted with 37 weeks pregnancy with multiple fibroids and central placenta praevia with focal increta. Even with all these complicating factors, with the advent of better uterotonic drugs, conservative management could be considered successfully now-a-days. Introduction:Fibroids are the commonest of all pelvic tumours, being present in 20 percent of women in reproductive age group. They are frequently multiple and more common in nulliparous and relatively infertile women 1,2 . Most fibroids are asymptomatic during pregnancy and are diagnosed on routine ultrasound examination 2 . Approximately 10% of pregnant patients with fibroids have complications related to or caused by the fibroids. These can be: first trimester loss, compression effect from myomas on the mother as well as on the fetus, pain (red degeneration), premature labour, premature rupture of the membranes, malpresentation, placenta praevia, retained placenta, postpartum hemorrhage and puerperal sepsis 3,4 .

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“…6 Fibroid less than 5 cm in diameter tend to remain stable or decrease in size and larger fibroid (5 cm) tend to grow during the pregnancy. 7 Effect of myoma on pregnancy depend on size, number and location of myoma. 8 It increases uterine irritability and contractility, either because of rapid growth and degeneration of myomas or because of altered secretion in oxytocin activity, may interfere with normal pregnancy maintenance.…”

Section: Introductionmentioning

confidence: 99%

Fetomaternal outcome in pregnancies complicated by fibroid

Singh

Mahajan

Singh

et al. 2021

Int J Reprod Contracept Obstet Gynecol

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Background: Fibromyoma (leiomyoma) is the most common benign tumour of the uterus. Approximately 10% to 30% of women with uterine fibroids developed complications during pregnancy. The aim of the study was planned to ascertain the fetomaternal outcome in pregnancies complicated by fibroid.Methods: A hospital based cross-sectional study was conducted among pregnant women with documented uterine fibroid who was admitted for any complication or delivered in the department of obstetrics and gynaecology, RIMS, Imphal from September 2017 to August, 2019 in the department of obstetrics and gynaecology in collaboration with department of paediatrics, Regional institute of Medical Sciences, Imphal. Detailed clinical history and socio-demographic profile were recorded in pre-designed proforma. General physical examination and systemic examination and obstetrical examination was carried out for the participants.Results: Major proportions was in the age group of 30-39 years (73.9%). Fibroids were more frequent in primigravida (76.1%) followed by P1 (15.2%) and ≥P2 (8.7%). Out of 46 patients 43 (93.5%) delivered by CS (69.76%), NVD (25.58%) and instrumental delivery (4.65%) while 3 patients (6.5%) undergo spontaneous abortions. Most common myoma found in this study was intramural (47.8%) followed by submucous (34.8%) and subserosal (17.4%). Out of 43 deliveries most common complications found was atonic PPH (6.97%) and placenta previa (6.97%) followed by degenerations (2.32%), abruptio placentae (2.32%), malpresentations (2.32%). Out of 43 deliveries 6.9% baby born with low birth weight, IUGR (6.9%), IUFD (4.6%), NICU admission (4.65%) and early neonatal death (2.32%).Conclusions: Pregnancies with fibroids are considered as high-risk pregnancy associated with complications during the antepartum, intrapartum, postpartum period. Pregnant women with myoma can be advised for regular ANC along with TAS for early diagnosis and management of complication.

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Successful Outcome of Pregnancy with Large Fibroid Uterus- A Case Report

Cited by 7 publications

References 8 publications

Case series: Pregnancy Outcome in Patients with Uterine Fibroids

Case series: Pregnancy Outcome in Patients with Uterine Fibroids

Successful Outcome of Pregnancy of a Sub-fertile Woman with Multiple Fibroids and Placenta Praevia and Accreta

Fetomaternal outcome in pregnancies complicated by fibroid

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