Title: Effect of Fibroid on Pregnancy and Pregnancy on Fibroid Uterus
Authors: Dr Sufia Begum (FCPS), Dr Mahina Monsur, Dr Ummul Nusrat Zahan (FCPS)
DOI: http://dx.doi.org/10.18535/jmscr/v4i3.11
Abstract
Objective: We study the effect of fibroids on women with pregnancy and pregnancy on uterine leiomyoma (fibroids) documented by ultrasonography.
Materials and Methods: Fifty (50) pregnant women diagnosed with leiomyoma during pregnancy were evaluated clinically and sonographycally. The number, size and location of the fibroid were observed with their impact on pregnancy outcome.
Result: Our study population consisted of fifty pregnant women with fibroid. Among them maximum 72.0% uterine fibroid were found at the age range between 25-35 years, majority (50.0%) being primi. The rate of spontaneous pregnancy loss in women with fibroid was 28.0%. Again the loss rate was higher in women with multiple fibroids 40.9%. We observed good assoication of uterine fibroid with first trimester bleeding 28.0%, premature delivery 14.0%, premature rupture of membranes (PROM) 20.0%, abruptio placentae 2.0% and breech presentation 8.0%. The rate of Caesarean delivery was higher 76.0% in patients with fibroid. The risk of intrauterine growth retardation (IUGR) 18.0 and congenital anomalies of the fetus were also high (6.0%). Most common effect of Pregnancy on fibroid is degeneration.
Conclusion: Fibroids with pregnancy appear to increase likelihood of complications during pregnancy, labour and delivery.
Key word: Uterine fibroid, Ultrasonogram, effect.
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