Abstract
Objective: To assess the impact of fibroids on pregnancy outcome.
Study Design: Aretrospective descriptive study.
Place and Duration of Study: The study was conducted at department of Obstetrics & Gynecology during a
st st
period of 2 years from 1 January 2017 to 31 December 2018.
Materials and Methods: All pregnant patients with fibroids > 3cm either diagnosed during antenatal period or
incidentally during cesarean section were included in this study. Data regarding obstetrical outcome was
extracted from the maternity ward record. Maternal age, parity, obstetrical complications, mode of delivery
and indications for caesarean section were noted. Neonatal outcomes were ascertained from the maternity
record and chart review. Results were summarized as %age, average and presented as tables using MS Excel
version 13.
Results: During the study period 38 pregnant women with fibroid are included in the study. Major proportion of
patients with fibroid were in age group of 30-35 years. Obstetrical complications observed were; placental
abruption (5.26%), PPH (15.78%), Obstructed labor (5.26%), prolonged labor (28.94%), abdominal pain
nd (10.52%), preterm labor (2.63%) and malpresentation (2.63%). Miscarriages during early 2 trimester were
recorded in (5.26%) cases. Caesarean section was required in 69.44% cases. One lady ended up in Cesarean
Hysterectomy due to intractable bleeding during c/section. During the course of pregnancy (21.05%) women
with fibroid uterus remained asymptomatic. Fetal outcome was good with (88.88 %) alive babies, (5.55%) NND,
(2.77%) IUD and (2.77%) neonatal intensive care unit (NICU) admission were recorded.
Conclusion: Pregnancies with fibroids are associated with increased risk of fetomaternal complications.
Pregnant women with myoma may have frequent antenatal visits in a consultant led clinic and well defined care
pathways. Significant number of still birth due to placental abruption associated with large myoma may
warrant elective caesarean section at relatively earlier gestational age.
Rakshinda Mushtaq, Uzma Afridi, Pari Gul, Shama Jogezai, Rukhsana Neelofer. (2020) To Assess the Impact of Fibroids on Pregnancy Outcome, Journal of Islamic International Medical College, Volume-15, Issue-3.
-
Views
1099 -
Downloads
113
Article Details
Volume
Issue
Type
Language
Received At
Accepted At
