Uterine Fibroids and Pregnancy: A Review of the Challenges

Abam, Dagogo Semenitari; Kasso, Terhemen

doi:10.5772/intechopen.71761

Cited by 10 publications

(15 citation statements)

References 48 publications

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Section: Discussionmentioning

confidence: 99%

“…The incidence of uterine fibroids in pregnancy would likely increase globally due to delay in childbearing which is more prevalent now due to different factors [ 16 – 19 ]. In Nigeria, like other black nations, there is a higher tendency of the women to develop uterine fibroids due to several mechanisms [ 16 , 20 ]. Also, our women usually present late for treatment due to poor health-seeking behaviour, sociocultural and financial constraints, and the fear of surgery [ 16 , 21 , 22 ].…”

Section: Discussionmentioning

confidence: 99%

“…In Nigeria, like other black nations, there is a higher tendency of the women to develop uterine fibroids due to several mechanisms [ 16 , 20 ]. Also, our women usually present late for treatment due to poor health-seeking behaviour, sociocultural and financial constraints, and the fear of surgery [ 16 , 21 , 22 ]. This delay in presentation for treatment makes our black women more likely to present with large and/or multiple uterine fibroids which have a higher risk of complications during pregnancy [ 7 , 23 ].…”

Section: Discussionmentioning

confidence: 99%

“…The complications which could be associated with uterine fibroids in pregnancy include degenerative changes which commonly cause abdominal pain, miscarriages, malposition/malpresentation, intrauterine growth restriction, antepartum haemorrhage, preterm labour, obstructed labour, postpartum haemorrhage, and high caesarean section rates [ 16 – 19 , 24 – 26 ].…”

Section: Discussionmentioning

confidence: 99%

“…There is much increased uterine vascularization during pregnancy. Therefore, myomectomy may result in excessive blood loss which may lead to inevitable hysterectomy [ 5 , 23 ] or maternal mortality [ 16 ]. In the presence of intractable symptomatology, however, we encourage treatment to be individualized to get optimal results.…”

Section: Discussionmentioning

confidence: 99%

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Large Uterine Fibroids in Pregnancy with Successful Caesarean Myomectomy

Eyong

Okon

2020

Case Reports in Obstetrics and Gynecology

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Uterine fibroid is the commonest benign tumour of the female reproductive tract. It occurs in 20–40% of women, whereas the estimated incidence in pregnancy is 0.1–3.9%. Uterine fibroid in pregnancy is usually asymptomatic with complications occurring in 10–30% of cases. The first line of management is conservative with counselling for myomectomy after delivery. However, in the presence of intractable symptoms, both antepartum myomectomy and caesarean myomectomy have been reported to be successfully performed in carefully selected cases. We report a case of large subserous uterine fibroid in pregnancy that was referred to our centre at 14 weeks of gestation. She developed generalized body weakness, backache, and breathlessness at 27 weeks gestation. Thus, she was admitted and managed conservatively for eight weeks with significant relief of symptoms. She eventually had a caesarean myomectomy at 35 weeks of gestation; the outcome was a live female baby with a birth weight of 2.3 kg and a large subserous fibroid weighing 9.5 kg. We can therefore say that caesarean myomectomy can be safely performed in carefully selected cases.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

See 3 more Smart Citations

Large Uterine Fibroids in Pregnancy with Successful Caesarean Myomectomy

Eyong

Okon

2020

Case Reports in Obstetrics and Gynecology

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Knowledge and perceptions of uterine fibroids: A descriptive cross-sectional survey among women of childbearing age in KwaZulu-Natal, South Africa

Dlamini,

Nxumalo,

Mpofana

et al. 2024

Preprint

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BackgroundUterine fibroids are the leading cause of hysterectomies among women of childbearing age. This study aims to elicit the knowledge, attitude and perceptions of childbearing women towards uterine fibroids in order to provide empirical evidence informing relevant interventions oriented toward health promotion in this regard.MethodsA quantitative, cross-sectional descriptive design was used and data were collected from a sample of 362 women of reproductive age residing in a selected township in KwaZulu-Natal, South Africa. Ethical approval to conduct the study was obtained from the Durban University of Technology’s Institutional Research Ethics’ Committee (IREC – Ref No. BIREC 014/21). A pre-tested survey was conducted to gather data on knowledge, attitudes, and perceptions concerning uterine fibroids. The collected data were analyzed using SPSS version 27, employing descriptive statistics. Inferential statistics were also conducted to examine associations between key variables and respondents who self-reported being diagnosed with uterine fibroids.ResultsMost participants, 73.8% (n=267), had no awareness of uterine fibroids. Participants also demonstrated poor knowledge regarding the aetiology and symptoms of the condition. However, most participants, 49.2% (n=178), perceived uterine fibroids to be of spiritual origin, citing evil spirits and witchcraft as the cause. Participants subsequently reported that treatment would require herbal approaches and consultation with spiritualists such as traditional healers and seers. In summary, the study highlights various factors influencing self-reporting behaviours, including age, education level, employment status, marital status, number of children, awareness of the condition, perception of requiring treatment, family history, and symptom severity.Discussion and conclusionThe study findings seem to suggest that women in the selected township lack accurate knowledge about uterine fibroids. These insights are valuable for shaping targeted health interventions and policies. Recognizing the complexities of self-reporting is crucial for improving health outcomes through early detection and tailored interventions.

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A Case Report of Overcoming an Obstructive, Pedunculated Cervical Fibroid at the Time of Uterine Evacuation

Tigdi

Chan

2019

Case Reports in Obstetrics and Gynecology

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Background. Fibroids, which can impact pregnancies at later gestations, such as obstructing delivery, may also affect the pregnancy termination process. Case. We present the case of a 28-year-old G1 at 18 weeks who consented for a genetic pregnancy termination via dilation and evacuation. During the typical preparatory procedure with laminaria, it was noted that a 5-6cm cervical fibroid prolapsed into the vagina obstructing access to the uterine cavity. Through osmotic dilation followed by cervical Foley catheter ripening, a planned myomectomy was possible with minimal blood loss prior to uterine evacuation. Conclusion. Through appropriate counselling, planning, and effective cervical dilatation, a planned myomectomy for prolapsing fibroids at the time of termination of pregnancy is possible. This can prevent unnecessary hysterotomy and avoid need for subsequent cesarean section.

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Uterine Fibroids and Pregnancy: A Review of the Challenges

Cited by 10 publications

References 48 publications

Large Uterine Fibroids in Pregnancy with Successful Caesarean Myomectomy

Large Uterine Fibroids in Pregnancy with Successful Caesarean Myomectomy

Knowledge and perceptions of uterine fibroids: A descriptive cross-sectional survey among women of childbearing age in KwaZulu-Natal, South Africa

A Case Report of Overcoming an Obstructive, Pedunculated Cervical Fibroid at the Time of Uterine Evacuation

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