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[Myoma and pregnancy].

Zentralblatt Fur Gynakologie

|January 1, 1975

Summary

This summary is machine-generated.

Uterine fibroids (myomas) affect 20% of women over 35. While small fibroids may not impact pregnancy, rapid growth can increase risks of abortion, premature birth, and complications, necessitating careful obstetric management.

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Area of Science:

Obstetrics and Gynecology
Reproductive Medicine

Background:

Uterine fibroids (myomas) are common, affecting 20% of women over 35.
Pregnancy in women with myomas requires special obstetric attention due to potential complications.

Observation:

Small myomas may initially not interfere with pregnancy but can grow rapidly.
Rapid fibroid growth during pregnancy is associated with increased rates of abortion and premature birth.
Serious puerperal complications can arise in patients with uterine fibroids.

Findings:

Enucleation of myomas in early pregnancy is recommended, with an expected abortion rate of 20%.
Large myomas necessitate individualized postpartum supervision.
Case reports highlight conservative and operative management of myomas during pregnancy, including a twin pregnancy, with successful outcomes.

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Implications:

Timely management of uterine fibroids during pregnancy is crucial for improving maternal and fetal outcomes.
Further research into optimal surgical timing and management strategies for fibroids in pregnancy is warranted.
Individualized obstetric care plans are essential for pregnant patients with uterine fibroids.