Uterine Leiomyoma in Pregnancy: Its Influence on Obstetric Performance

Koike, Tomoyuki; Minakami, Hisanori; Kosuge, Shuichi; Usui, Rie; Matsubara, Shigeki; Izumi, Akio; Sato, Ikuo

doi:10.1111/j.1447-0756.1999.tb01168.x

Cited by 41 publications

(50 citation statements)

References 6 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…(15/136), similar to that previously reported by other authors (10)(11)(12)(13). Our data also confirms that the rate of fetal growth restriction in pregnancies is not increased in pregnancies complicated with fibroids.…”

Section: A C C E P T E D Accepted Manuscriptsupporting

confidence: 92%

“…However, our findings did not show a relationship between mode of delivery and the number of fibroids, which conflicts with previously reported findings 7,11 . Although some studies 12,14 suggested that larger fibroids were more likely to be associated with operative delivery, we could not demonstrate a similar association. In fact, our data support the conclusions of a study by Roberts et al 15 where multiple or larger fibroids were not associated with increased risk of caesarean section.…”

Section: A C C E P T E D Accepted Manuscriptcontrasting

confidence: 86%

“…It is therefore likely that the prevalence of fibroids in pregnancy is underestimated. Although the majority of women with fibroids will have uneventful pregnancies, approximately 10-28% of women will develop complications usually in the form of abdominal pain [9][10][11][12] , caused by either fibroid reddegeneration (necrosis of the fibroid as it overgrows its blood supply), torsion of pedunculated fibroids or impaction.…”

Section: Introductionmentioning

confidence: 99%

See 2 more Smart Citations

The impact of fibroid characteristics on pregnancy outcome

Lam

Best

Kumar

2014

American Journal of Obstetrics and Gynecology

View full text Add to dashboard Cite

Objective: To assess the influence of different characteristics of fibroids on pregnancy outcome.Study design: We identified women with fibroids ≥4 cm in size on ultrasonography at the dating scan between January 2002 and December 2012. The size (4-7cm, 7-10cm, >10cm), number (multiple/single), location (lower uterus/body of uterus) and type (intramural, combination of intramural/subserosal, subserosal) were ascertained. Medical records were reviewed to obtain pregnancy outcomes (preterm delivery, birth weight, mode of delivery, estimated blood loss, postpartum haemorrhage and admission for fibroid related pain).Results: 121 patients with 179 pregnancies were identified. Preterm delivery was more likely in those with multiple fibroids compared to single fibroids (18% v 6% p=0.05). The location of fibroid had an important effect on mode of delivery with a higher caesarean section rate for fibroids in the lower part of uterus than in the body of the uterus (86% v 40% p=0.01), a higher rate of postpartum haemorrhage (22% v 11%p=0.03) and greater estimated blood loss This information can be used to aid counselling women antenatally and in risk stratifying patients.

show abstract

Section: A C C E P T E D Accepted Manuscriptsupporting

confidence: 92%

Section: A C C E P T E D Accepted Manuscriptcontrasting

confidence: 86%

Section: Introductionmentioning

confidence: 99%

See 1 more Smart Citation

The impact of fibroid characteristics on pregnancy outcome

Lam

Best

Kumar

2014

American Journal of Obstetrics and Gynecology

View full text Add to dashboard Cite

show abstract

“…The risk factors are shown in Table 1, and experimental results are consistent with the reported literature [13][14][15][16]. Blood clotting function tests include fibrinogen (FIB), plasma prothrombin time detection (PPTD) and so on [17][18][19][20]. In the PPH group in the current study, 103 parturient patients presented placental factors, with a morbidity rate of 23%.…”

Section: Discussionsupporting

confidence: 87%

Research of the assessable method of postpartum hemorrhage

Chi

Zhang

Wang³

et al. 2016

THC

View full text Add to dashboard Cite

Abstract. BACKGROUND: Postpartum hemorrhage (PPH) is the most common cause of parturient death worldwide [1]. However, most cases of PPH can be avoided. OBJECTIVE: This paper employs statistical methods to screen risk factors of PPH and calculate relevant parameters. METHODS: Multivariable logistic regression analysis was applied to obtain the regression equation and odds ratio (OR) value. The determined risk factors were assigned comprehensive and reasonable scores according to scientific relevance and reasoning according to the OR value. PPPH values were calculated in order to assess the morbidity of PPH. RESULTS: The scores of pregnant women could be intuitively used to show the risk of getting PPH. CONCLUSIONS: Through the above methods, a comprehensive risk evaluation method of detecting PPH was developed.

show abstract

“…Fibroids are linked with both malpresenation 17 and preterm labor, 18 probably by distorting the uterine cavity. Our study identified 2 of 33 (6.1%) malpresentations, and 1 face presentation, a rate that is not increased.…”

Section: Commentmentioning

confidence: 99%