Feto maternal outcomes of fibroid in pregnancy: a retrospective observational study
Keywords:Fetal growth restriction, Postpartum hemorrhage, Preterm premature rupture of membranes, Small for gestational age
Background: Uterine fibroid is one of the most common intrauterine masses among females at the reproductive age. Although most of the uterine fibroids are asymptomatic during pregnancy, serious complications may occur. Aim of this study was to assess the obstetric outcome (maternal and fetal) in pregnancy with fibroid.
Methods: A retrospective observational study was performed at Obstetrics and Gynecology Department in ABVIMS and RML hospital. 50 pregnant patients with >2 cm size fibroids were taken in the study. Maternal age, parity, size of the fibroid, complications during pregnancy, and mode of delivery were noted.
Results: The 20% of pregnancies ended up in spontaneous abortions. 60% of them had to undergo caesarean section out of which, 10% was for non-progress of labor (NPOL), 5% for outlet obstruction, 5% with malpresentation, 16% patients with APH, 4% patients had elective LSCS for placenta previa and 10% with previous cesarean who were not willing for vaginal delivery. Other complications; placenta previa 16% and low lying placenta 10% patients, pre-eclampsia 20%, malpresentation 20%. Post-partum hemorrhage (PPH) was seen in 24% of the cases. 4% cases had red degeneration which were managed conservatively. Neonatal outcomes included 30% of babies born preterm, 40% being small for gestational age, 10% having low 1-minute APGAR score and 4% with low APGAR at 5 and 10 min. 30% had NICU admission for varied reasons.
Conclusions: Fibroids in pregnancy may be associated with complications affecting the course of pregnancy and labor. So, pregnancy must be cautiously monitored in the antenatal period, through regular follow-up.
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