Case series: Pregnancy Outcome in Patients with Uterine Fibroids
Fibroids in pregnancy is a commonly encountered clinical entity. Objective of this study was to evaluate the maternal and fetal outcome in women having pregnancy with uterine fibroids. We present the clinical, obstetric data, perinatal outcomes of 15 patients from a prospective study. Fifteen preg...
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doaj-85a513e15ce44c51a52613476d4debe02020-11-25T03:02:26ZengJCDR Research and Publications Private LimitedJournal of Clinical and Diagnostic Research2249-782X0973-709X2015-09-01910QR01QR0410.7860/JCDR/2015/14375.6621Case series: Pregnancy Outcome in Patients with Uterine FibroidsB.H. Radhika0Kusuma Naik1S. Shreelatha2Harshini Vana3Senior Resident, Department of Obstetrics and Gynecology, ESI Post Graduate Institute of Medical Science and Research, Bangalore, India.Assistant Professor, Department of Obstetrics and Gynecology, ESI Post Graduate Institute of Medical Science and Research, Bangalore, India.Associate Professor, Department of Obstetrics and Gynecology, ESI Post Graduate Institute of Medical Science and Research, Bangalore, India.Senior Resident, Department of Obstetrics and Gynecology, ESI Post Graduate Institute of Medical Science and Research, Bangalore, India.Fibroids in pregnancy is a commonly encountered clinical entity. Objective of this study was to evaluate the maternal and fetal outcome in women having pregnancy with uterine fibroids. We present the clinical, obstetric data, perinatal outcomes of 15 patients from a prospective study. Fifteen pregnant women with fibroid >3cm were prospectively included in study. Major proportion of patient with fibroids were in younger age group of 25-30 years when compared to older age group of 31-35 years (66% vs 33%). Fibroids were more frequent in multi-gravidae, compared to primigravidae. In almost half of patients, (53.3%) fibroids were diagnosed before pregnancy. Common complications encountered during pregnancy in decreasing order of frequency were pain abdomen (46.6%), followed by threatened preterm labour (26.6%) and anaemia (26.6%). Out of 15, three (20%) women had abortion. In remaining, 11/12 patients attained term pregnancy between 37 to 40 weeks. Two patients required antenatal myomectomy. Caesarean section was done in 75% of women who attained term pregnancy and one patient had technical difficulty during caesarean section. Post partum heamorrhage was seen in 5/15 (33.3%) of patients. Out of 12, five babies were low birth weight. Four babies required NICU admission. There was no perinatal mortality. In our small patient series high incidence of caesarean section rates and increased incidence of threatened preterm labour, anaemia, and postpartum haemorrhage, was observed in pregnant patients with fibroids and hence, the pregnancy with fibroids should be considered as high risk pregnancy.https://jcdr.net/articles/PDF/6621/14375_CE(RA1)_F(T)_PF1(VSUAK)_PFA(AK)_PF2(PAG).pdffibroidsleiomyomasobstertric complications |
collection |
DOAJ |
language |
English |
format |
Article |
sources |
DOAJ |
author |
B.H. Radhika Kusuma Naik S. Shreelatha Harshini Vana |
spellingShingle |
B.H. Radhika Kusuma Naik S. Shreelatha Harshini Vana Case series: Pregnancy Outcome in Patients with Uterine Fibroids Journal of Clinical and Diagnostic Research fibroids leiomyomas obstertric complications |
author_facet |
B.H. Radhika Kusuma Naik S. Shreelatha Harshini Vana |
author_sort |
B.H. Radhika |
title |
Case series: Pregnancy Outcome in Patients with Uterine Fibroids |
title_short |
Case series: Pregnancy Outcome in Patients with Uterine Fibroids |
title_full |
Case series: Pregnancy Outcome in Patients with Uterine Fibroids |
title_fullStr |
Case series: Pregnancy Outcome in Patients with Uterine Fibroids |
title_full_unstemmed |
Case series: Pregnancy Outcome in Patients with Uterine Fibroids |
title_sort |
case series: pregnancy outcome in patients with uterine fibroids |
publisher |
JCDR Research and Publications Private Limited |
series |
Journal of Clinical and Diagnostic Research |
issn |
2249-782X 0973-709X |
publishDate |
2015-09-01 |
description |
Fibroids in pregnancy is a commonly encountered clinical entity. Objective of this study was to evaluate the maternal and fetal
outcome in women having pregnancy with uterine fibroids. We present the clinical, obstetric data, perinatal outcomes of 15 patients
from a prospective study. Fifteen pregnant women with fibroid >3cm were prospectively included in study. Major proportion of patient
with fibroids were in younger age group of 25-30 years when compared to older age group of 31-35 years (66% vs 33%). Fibroids
were more frequent in multi-gravidae, compared to primigravidae. In almost half of patients, (53.3%) fibroids were diagnosed before
pregnancy. Common complications encountered during pregnancy in decreasing order of frequency were pain abdomen (46.6%),
followed by threatened preterm labour (26.6%) and anaemia (26.6%). Out of 15, three (20%) women had abortion. In remaining,
11/12 patients attained term pregnancy between 37 to 40 weeks. Two patients required antenatal myomectomy. Caesarean section
was done in 75% of women who attained term pregnancy and one patient had technical difficulty during caesarean section. Post
partum heamorrhage was seen in 5/15 (33.3%) of patients. Out of 12, five babies were low birth weight. Four babies required NICU
admission. There was no perinatal mortality. In our small patient series high incidence of caesarean section rates and increased
incidence of threatened preterm labour, anaemia, and postpartum haemorrhage, was observed in pregnant patients with fibroids
and hence, the pregnancy with fibroids should be considered as high risk pregnancy. |
topic |
fibroids leiomyomas obstertric complications |
url |
https://jcdr.net/articles/PDF/6621/14375_CE(RA1)_F(T)_PF1(VSUAK)_PFA(AK)_PF2(PAG).pdf |
work_keys_str_mv |
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