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Fibroids in pregnancy--common but poorly understood
Natalie Paloma Cooper1, Stanley Okolo
1Royal Free and University College Medical School, London NW3 2PF, UK.
Obstetrical & Gynecological Survey
|January 27, 2005
Summary
Uterine fibroids are common in pregnancy and can cause complications like pain and difficult delivery. However, with proper monitoring and management, successful pregnancy and delivery are achievable.
Area of Science:
- Gynecology
- Obstetrics
- Reproductive Medicine
Background:
- Uterine fibroids are the most common benign tumors in women of reproductive age, affecting 20-30% of this population.
- Fibroids are frequently encountered during pregnancy, though their exact incidence remains unknown, with reported rates varying significantly.
Purpose of the Study:
- To summarize the influence of pregnancy on uterine fibroids.
- To explain the impact of fibroids on pregnancy outcomes.
- To outline management strategies for fibroids during pregnancy.
Main Methods:
- Ultrasound scanning is crucial for diagnosing and monitoring fibroids during pregnancy.
- Color flow Doppler scanning aids in differentiating fibroids from myometrial thickening.
- Review of existing literature on fibroid management during pregnancy.
Main Results:
- Pregnancy generally has minimal effect on fibroid size, though red degeneration can occur early in pregnancy.
- Fibroids can lead to complications such as abdominal pain, miscarriage, malpresentation, and difficult delivery.
- The size, location, number, and placental relationship of fibroids are critical factors influencing pregnancy outcomes.
Conclusions:
- While few treatment options exist during pregnancy, carefully selected myomectomy cases have shown successful outcomes.
- Appropriate surveillance and supportive management are key to achieving successful pregnancy and delivery in women with fibroids.
- Understanding the interplay between fibroids and pregnancy is essential for optimal patient care.