OUTCOME OF PREGNANCIES ASSOCIATED WITH FIBROIDS
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Abstract
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.
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