[Uterine myomas in pregnancy]

In this paper different views regarding the diagnosis and management of uterine myomas during pregnancy, delivery and puerperium are presented. A review was done of the complications which may develop during pregnancy depending on the sizes of the myomas and their localization in relation to the placenta. Indications for operative management of uterine myomas, given by various authors are presented. Controversies connected with enucleation of uterine myomas in pregnancy are described. Indications, contraindications as well as possible complications regarding enucleation of uterine myomas in pregnancy which appear in the bibliography are presented. An analysis was done of the possible dangers which threaten women with uterine myomas during puerperium. On the basis of our own experience, the authors are of the opinion that only abiding by the indications for enucleation of uterine myomas in pregnancy and during caesarean sections, can bring about good results. Management of women who have uterine myomas must be cautious and devoid of routine.