OUTCOME OF PREGNANCIES ASSOCIATED WITH FIBROIDS
Keywords:
Leiomyoma, Fibroids, Uterine, Pregnancy, Complications, OutcomeAbstract
Objective: To determine the complications of pregnancy and labour associated with uterine fibroids.
Material and Methods: This study was conducted in Obstetrics and Gynaecology Unit B of Khyber Teaching Hospital, Peshawar from April 2007 to May 2009. The study group consisted of 30 patients with fibroid uterus and control group comprised of hundred randomly selected pregnant women with a normal uterus. Pregnancy outcome in terms of age, parity, mode of delivery and location of fibroid was noted. Any complication occurring during the course of pregnancy and labour was also taken into account.
Results: Majority of women in the two groups belonged to the age group between 25 to 35 years. Women in the study group were nulliparous as compared to control group (56.2% vs 12%). The complication of pre-labour rupture of membranes (PROM), preterm labour, abruption, placenta praevia were not statistically different in the two groups. Post-partum hemorrhage and need for blood transfusion were greater in the study group. The abortion rate was twice than the controls (12.5% vs 6%). The rate of Caesarian Section (C/S) was also higher among women with uterine fibroids (53.3% vs 23%).
Conclusion: The presence of fibroid uterus leads to increased risk of complications during pregnancy and labour. Hence, these pregnancies should be regarded as high risk and dealt with in specialized units of obstetric care.
Downloads
Published
How to Cite
Issue
Section
License
All articles published in the Journal of Medical Sciences (JMS) are licensed under the Creative Commons Attribution 4.0 International License (CC-BY 4.0). Under the CC BY 4.0 license, author(s) retain the ownership of the copyright publishing rights without restrictions for their content, and allow others to copy, use, print, share, modify, and distribute the content of the article even for commercial purposes as long as the original authors and the journal are properly cited. No permission is required from the author/s or the publishers for this purpose. Appropriate attribution can be provided by simply citing the original article. The corresponding author has the right to grant on behalf of all authors, a worldwide license to JMS and its licensees in all forms, formats, and media (whether known now or created in the future), The corresponding author must certify and warrant the authorship and proprietorship and should declare that he/she has not granted or assigned any of the article’s rights to any other person or body.
The corresponding author must compensate the journal for any costs, expenses, or damages that the JMS may incur as a result of any breach of these warranties including any intentional or unintentional errors, omissions, copyright issues, or plagiarism. The editorial office must be notified upon submission if an article contains materials like text, pictures, tables, or graphs from other copyrighted sources. The JMS reserves the right to remove any images, figures, tables, or other content, from any article, whether before or after publication, if concerns are raised about copyright, license, or permissions and the authors are unable to provide documentation confirming that appropriate permissions were obtained for publication of the content in question.
