Labour outcome following laparoscopic myomectomy in infertility patients in Port Harcourt Nigeria

Abstract

Laparoscopic myomectomy is being used to surgically treat women with uterine fibroid in our environment. The effect of this treatment modality on achieving pregnancy and its outcome in women with infertility deserves evaluation. Objective: This was to assess the fetal and maternal outcome of pregnant women with prior laparoscopic myomectomy and background infertility. Materials and Method: The study is a retrospective one involving 21 out of 86 women that underwent laparoscopic myomectomy and achieved pregnancy over a period of 30 months. Result: There was pregnancy in 21 out of 86 women that had laparoscopic myomectomy, thus giving a pregnancy rate of 24.4%. The pregnancy outcome was good. The mean gestational age at delivery was 37.76 ±1.97 weeks and the babies had the mean birth weight of 3.09 ± 0.54 kg with the mean APGAR score of 7.47 ± 2.09. The vaginal delivery rate was 23.8% and the mean duration of hospital stay was 4.62 ± 1.43 days. Conclusion: Laparoscopic myomectomy improves the chances of pregnancy in young women with background infertility and is associated with good labour outcome.