Uterine Myomas in Pregnancy

Winer-Muram, Helen T.; Muram, David; Gillieson, M; Muggah, Henry

doi:10.1097/00006254-198402000-00007

Cited by 29 publications

(38 citation statements)

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“…Visualisation of fibroids in pregnancy can be problematic partly because of the difficulty of ultrasonography in differentiating fibroids from physiological thickening of the myometrium 4,8 . It is therefore likely that the prevalence of fibroids in pregnancy is underestimated.…”

Section: Introductionmentioning

confidence: 99%

The impact of fibroid characteristics on pregnancy outcome

Lam

Best

Kumar

2014

American Journal of Obstetrics and Gynecology

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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.

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Section: Introductionmentioning

confidence: 99%

The impact of fibroid characteristics on pregnancy outcome

Lam

Best

Kumar

2014

American Journal of Obstetrics and Gynecology

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“…Abortion was reported to be 8 times more common among pregnant ladies with retroplacental fibroids than those with non-retroplacental fibroids. 24 Abruptio placentae occurs due to impaired blood flow to the placenta and adjacent uterine myometrium. Therefore, it often with submucous, large (>7.8 cm or >200 ml volume), or retroplacental fibroids.…”

Section: Complicationsmentioning

confidence: 99%

“…They are associated with retroplacental large fibroids (3.6 cm). 12,14,24 . Although significant, preterm labor was estimated to be only 2 or 3 weeks prior to the expected date of delivery which does not have a significant impact on the fetus.…”

Section: Complicationsmentioning

confidence: 99%

Safety of pregnancy in uterine fibroids

Alhainiah¹,

Aljifry²,

Alghamdi³

et al. 2018

Int J Reprod Contracept Obstet Gynecol

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Uterine fibroid is one of the most common intrauterine masses among females at the reproductive age. Pregnancy and uterine fibroids are highly correlated. Pregnancy-related hormones influence the size of uterine fibroids, and fibroids have many impacts on pregnancy. Although most if the uterine fibroids are asymptomatic during pregnancy, serious complications may occur. The main complications include abortion, premature rupture of membranes, premature labor, abruptio placentae, peripartum hemorrhage, fetal malpresentation, fetal intrauterine growth retardation, small for gestational age infants, and fetal anomalies. The main risk factors for complications are related to the fibroid number, size, volume, location, and type. Large, multiple, retroplacental, submucosal, subserosal, pedunculated, or low-lying fibroids carries the highest risk for complications during pregnancy. This review will address the prevalence of uterine fibroids during pregnancy, its effects, and complications.

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“…The likelihood of this happening is dependent on the location of the uterine fibroids, and is more when the placenta implants close to a fibroid nodule [31].…”

Section: Uterine Fibroids and Pregnancymentioning

confidence: 99%

Uterine Fibroids and Pregnancy: A Review of the Challenges

Abam¹,

Kasso²

2017

Obstetrics

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Uterine fibroids are quite common in women of the reproductive age group and as such commonly encountered in pregnancy. Though majority of these cases are asymptomatic, some are prone to developing complications and may end up having adverse outcomes in pregnancy. Management of these women with uterine fibroids presents its own challenges, especially in low-resource setting as in sub-Saharan Africa, where the condition is rife. Adequate management of these women, be it pregnant or nonpregnant, improves their quality of life.

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Uterine Myomas in Pregnancy

Cited by 29 publications

References 0 publications

The impact of fibroid characteristics on pregnancy outcome

The impact of fibroid characteristics on pregnancy outcome

Safety of pregnancy in uterine fibroids

Uterine Fibroids and Pregnancy: A Review of the Challenges

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