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Research Paper | Obstetrics and Gynecology | India | Volume 13 Issue 4, April 2024 | Rating: 5.2 / 10
Obstetric Outcomes among Fibroid Complicating Pregnancy
Dr Sreena M | Dr Nandini V R | Dr Takhe Rillung
Abstract: Background: Due to demographic shift towards delayed age of childbearing, many pregnancies occurring after the treatment of fibroids, this study on obstetric outcomes as well as characteristics of fibroids will help us to identify the high risk cases and prevent anticipated complications. Objective: To study the obstetric outcomes among fibroid complicating pregnancy and the relationship between different characteristics of uterine fibroids and their corresponding obstetric outcomes. Methodology: It is a prospective observational study carried out in SAT Hospital, among 170 patients who presented with fibroid >3cm during pregnancy from December 2018 to May 2020. Results: 66% of patients gave history of threatened abortion, 45% patients had caesarean section. Atonic PPH and preterm labour was noted in 48% and 39% cases respectively. Two third cases of malpresentations had fibroid larger than 6cm. Subinvolution of uterus was noted in 23% out of which 73% had fibroids size >6cm.52 cases of preterm labor, 22 cases of IUGR, 44% of Failure to progress was noted when the fibroid size was >6cm. Subserosal fibroids were found to have 2.4 times higher odds of having failure to progress.59% of IUGR had > 1 fibroids. Conclusion: Pregnancy with fibroids of size more than 6cm in third trimester lead to significant increase in preterm labour, IUGR, malpresentation and failure to progress. Atonic PPH, although not resulting in significant anaemia, was noted in about half the number of cases.
Keywords: fibroid, pregnancy, obstetric outcome, caesarean section, preterm labour
Edition: Volume 13 Issue 4, April 2024,
Pages: 55 - 59