The uterine leiomyoma and placenta previa: a meta-analysis

Jenabi, Ensiyeh; Fereidooni, Bita

doi:10.1080/14767058.2017.1400003

Cited by 17 publications

(10 citation statements)

References 18 publications

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“…Studies have shown an increased risk of having placenta previa in cases of fibroid uterus in pregnancy [ 3 , 4 , 9 , 10 ]. One of the studies mentioned that uterine leiomyoma of size 5 cm or more increases the risk of placenta previa by 3.53-fold [ 11 ]. However, there is no mention of the types of fibroid typically involved in abnormal placentation.…”

Section: Discussionmentioning

confidence: 99%

Central Placenta Previa With Coexisting Central Cervical Fibroid in Pregnancy: An Obstetrician’s Nightmare

Barik¹,

Singh²,

Choudhary³

et al. 2021

Cureus

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Pregnancy with central placenta praevia and a coexistent cervical fibroid is infrequently encountered in clinical practice. A patient with this unusual combination is a nightmare for any clinician, especially if she presents with obstetric emergencies. In this scenario, there is a high chance of catastrophic obstetric hemorrhage during the peripartum period leading to a fatal outcome. We report a case of a 27-year-old lady at term pregnancy, who was brought to emergency in labor pain with antepartum hemorrhage. Subsequently, she was diagnosed to have central placenta praevia along with a large central cervical fibroid. An emergency cesarean section was performed to deliver the child. Intraoperatively, she had a major postpartum hemorrhage which was successfully managed with intrauterine balloon tamponade, hemostatic sutures, and uterine artery ligation. We could avoid cesarean hysterectomy by precise anticipation, meticulous planning, and step-wise protocol-driven management.

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Section: Discussionmentioning

confidence: 99%

Central Placenta Previa With Coexisting Central Cervical Fibroid in Pregnancy: An Obstetrician’s Nightmare

Barik¹,

Singh²,

Choudhary³

et al. 2021

Cureus

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“…These findings suggest that endometrial receptivity is altered in women who smoke, and could explain previa implantation in spontaneous pregnancies in primigravidae. Other risk factors that may have an impact on the site of implantation include uterine leiomyoma (AOR 2.21; 95%CI: 1.48, 2.94) [26] and endometrial thickness [21].…”

Section: Low-lying Placenta and Placenta Previamentioning

confidence: 99%

Placental Implantation Disorders

Jauniaux

Moffett

Burton

2020

Obstetrics and Gynecology Clinics of North America

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“…Smatra se da je pojava intrauterinog zastoja u rastu ploda češća u trudnoćama u kojima je insercija placente na mestu postojanja mioma materice, što može uzrokovati poremećaj perfuzije placente [20].…”

Section: Komplikacije Mioma Tokom Trudnoće I Porođajaunclassified

“…It is believed that the occurrence of intrauterine fetal growth restriction is more common in pregnancies where the placental insertion is at the site of uterine myoma(s), which may result in the disruption of placental perfusion [20].…”

Section: Komplikacije Mioma Tokom Trudnoće I Porođajamentioning

confidence: 99%

Perinatal complications of pregnancies complicated by uterine fibroids

Sparić¹,

Tomašević²

2021

Srpski medicinski časopis Lekarske komore

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Fibroids (myomas) are the most common tumors of the female reproductive organs, consisting of smooth muscle cells, fibroblasts, and extracellular matrix. They develop from menarche to menopause. They are diagnosed in 10-20% women of reproductive age. Their size varies from barely visible nodules to large tumors. Change in the size of fibroids during pregnancy and after childbirth is the subject of numerous studies. Most studies indicate a significant increase in the size of fibroids during the first trimester, unchanged size during the second and the third trimester, and a decrease in their size after the delivery. The effect of fibroids on pregnancy depends on their number, location, and size. Myomas are associated with numerous perinatal complications: bleeding in pregnancy, miscarriages, pain due to red degeneration, preterm birth, placental abruption, placenta previa, intrauterine growth restriction, fetal malpresentation, prolonged labor, increased cesarean section rate, uterine atony, and postpartum hemorrhage. Treatment of fibroids in pregnancy includes bed rest and follow-up with symp-tomatic therapy in case of pain, as well as intensive monitoring of the fetus. Very rarely, myomectomy may be necessary during pregnancy. Myomectomy during cesarean section has been considered contraindicated for years. Recent research demonstrates that this procedure may not be associated with an increased risk of perioperative complications. Its advantages include performing two operations within one surgical procedure while avoiding the risks of repeated laparotomy and anesthesia. The most common postpartum complications of fibroids are bleeding and infection.

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The uterine leiomyoma and placenta previa: a meta-analysis

Abstract: We showed based on reports in observational studies that uterine leiomyoma is a risk factor for placenta previa in studies adjusted.

Cited by 17 publications

References 18 publications

Central Placenta Previa With Coexisting Central Cervical Fibroid in Pregnancy: An Obstetrician’s Nightmare

Central Placenta Previa With Coexisting Central Cervical Fibroid in Pregnancy: An Obstetrician’s Nightmare

Placental Implantation Disorders

Perinatal complications of pregnancies complicated by uterine fibroids

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