Pregnancy outcome in patients with fibroid

Maliwad, Antima Kirtikumar; Thaker, Rajal; Shah, Parul T.

doi:10.5455/2320-1770.ijrcog20140984

Cited by 5 publications

(9 citation statements)

References 14 publications

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“…The age of study population in this study is comparable to the study by Maliwad et al According to various studies, it is seen that occurrence of leiomyomas in second and third decades of life is significant because it can affect the conception & complicate in pregnancy. 2,5 In this study, we found that fibroids were less frequent in the primigravidae compared to multigravida. This is consistent with earlier studies by Sarwar et al (63% multigravida and 37% primigravida).…”

Section: Discussionsupporting

confidence: 45%

“…In present study, percentage of pregnancy with fibroid was 0.3% which is comparable to study by Maliwad et al various studies have reported incidence of pregnancy with fibroid as 0.09% to 3.7%. 2,4 Mean maternal age in this study was found to be 26.65 years. The age of study population in this study is comparable to the study by Maliwad et al According to various studies, it is seen that occurrence of leiomyomas in second and third decades of life is significant because it can affect the conception & complicate in pregnancy.…”

Section: Discussionmentioning

confidence: 48%

“…8 Caesarean incidence in this study (66.66%) is similar to studies by Maliwad et al (80%). 2 Malpresentation, large fibroids, and fibroids in lower uterine segment are considered predisposing factors for cesarean delivery. 11 Indications for caesarean section in this study were comparable to study by Poovathi et al 3…”

Section: Discussionmentioning

confidence: 99%

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Pregnancy outcome in patients with fibroid: a retrospective study

Dadhania

Mehta

Yadava

et al. 2020

Int J Reprod Contracept Obstet Gynecol

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Background: Fibroids are benign smooth muscle cell tumour of the uterus. In some patients of pregnancy associated with fibroid, it does not affect the outcome of pregnancy. On the other hand, various complications have been reported. The aim of our study was to evaluate the outcome in antenatal women with fibroids.Methods: This retrospective study was conducted at tertiary care center, obstetrics & gynecology department over a period of eighteen months between June 2018 to November 2019. Total 26 pregnant patients with >3 cm fibroid was included in the study. They were followed during antenatal period. Maternal age, parity, size of fibroid, complications during pregnancy, labour, and delivery, mode of delivery and indications of cesarean section were noted.Results: Out of 26 patients, 15 (57.6%) were between 26-30 years of age group and 16 (61.53%) were multigravidas. Normal vaginal delivery occurred in 8 (33.33%), while 16 (66.66%) delivered by caesarean section. There were 9 (34.61%) patients who had no complication whereas 17 (65.38%) had some complication. Pain was present in 8 (30.76%). PROM and preterm labour were present in 3 (18.75%) and 5 (19.23%) respectively. PPH was present in 2 (7.69%).Conclusions: Pregnant patients who have fibroids are to be carefully screened in the antenatal period, so as to have a regular follow up. The widespread use of ultrasonography has facilitated diagnosis and management of fibroids in pregnancy. The site and size of fibroid is very important to predict its effect on pregnancy.

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Section: Discussionsupporting

confidence: 45%

Section: Discussionmentioning

confidence: 48%

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Pregnancy outcome in patients with fibroid: a retrospective study

Dadhania

Mehta

Yadava

et al. 2020

Int J Reprod Contracept Obstet Gynecol

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“…About 40.9% of patients who had only CS while also having myoma required repeat surgery during follow-up of 6-38 months for symptomatic myoma. 4 …”

Section: Discussionmentioning

confidence: 99%

“…2 This may be due to the size of the fibroid that increases during pregnancy and may lead to pain, discomfort, fetal malpresentation, preterm labor, premature rupture of membrane, obstructed labor, abruptio placenta, uterine atony, and PPH. 3 , 4 , 7 …”

Section: Introductionmentioning

confidence: 99%

Tumor to Tumor Metastasis: A Case Report

et al. 2021

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Colon carcinoma spreads locally around the intestine wall and can undergo distant metastasis via the hematogenous or lymphatic spread. It rarely metastasizes to the female genital tract and is not fully reported to involve a uterine leiomyoma. Herein we report such an unusual case of a 27 years female a known case of sigmoid colon adenocarcinoma who presented with abdominal pain with bilateral adnexal mass and per vaginal bleeding. Exploratory laparotomy with bilateral resection of ovaries with subsequent polypectomy was done, which on histopathology, it revealed metastatic adenocarcinoma in bilateral ovaries and submucosal leiomyoma. Hence, a lesion with dimorphic histomorphology should be carefully evaluated to rule out the possibility of malignant-to-benign tumor-to-tumor metastasis.

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Assessment of adverse pregnancy outcomes in women presenting with uterine fibroids at a tertiary care hospital.

Khakwani

Parveen

Rasheed

2022

TPMJ

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Objective: To determine frequency of adverse pregnancy outcomes in women presenting with uterine fibroids at a tertiary care hospital. Study Design: Descriptive Case Series. Setting: Department of Obstetrics & Gynaecology, Nishtar Hospital, Multan. Period: 25th November 2020 to 24th June 2021. Material & Methods: The detailed history was taken and patients were examined thoroughly. Data was collected for basic demographics i.e. Age, parity, BMI, duration of complaints and pregnancy outcomes. Patients were booked and followed up for the pregnancy outcomes like preterm labour and post-partum hemorrhage. Results: Mean age of our study cases was noted to be 28.98 ± 3.68 years. Mean duration of fibroids was noted to be 26.46 ± 8.11 months and most of them i.e. 86 (53.8%) presented with duration of disease for more than 2 years. Mean body mass index of our study cases was noted to be 26.21 ± 2.14 kg/m2 and obesity was present in 47 (29.4 %) of our study cases. Mean gestational age was noted to be 37.11 ± 3.09 weeks and 100 (62.4%) had gestational age more than 34 weeks. Large fibroids were observed in 21 (13.1 %), small in 48 (30 %), single fibroids in 39 (24.4 %), multiple fibroids in 39 (24.4 %), intramural in 7 (4.4%) and submucosal in 6 (3.8%). Preterm labor was noted in 88 (55 %) and Postpartum hemorrhage was noted in 66 (41.3 %) of our study cases. Conclusion: Uterine fibroids are associated with significantly increased adverse pregnancy outcomes as the frequencies of preterm births and postpartum hemorrhage were very high in our study. Preterm births were significantly associated with age, parity, obesity and characteristics of fibroids. Postpartum hemorrhage was significantly associated with age, parity, residential status, obesity and characteristics of fibroids.

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Pregnancy outcome in patients with fibroid

Cited by 5 publications

References 14 publications

Pregnancy outcome in patients with fibroid: a retrospective study

Pregnancy outcome in patients with fibroid: a retrospective study

Tumor to Tumor Metastasis: A Case Report

Assessment of adverse pregnancy outcomes in women presenting with uterine fibroids at a tertiary care hospital.

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