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Updated: Jun 8, 2026
05:46
Introduction of Intracapsular Rotary-cut Procedures (IRCP): A Modified Hysteromyomectomy Procedures Facilitating Fertility Preservation
Published on: January 17, 2019
[Leiomyoma during pregnancy: which complications?].
I Kellal1, N El Haddouchi, A-I Lecuyer
1Pôle de Gynécologie, Obstétrique, Médecine Fœtale et Reproduction Humaine, Hôpital Bretonneau, CHU de Tours, 2 Boulvard Tonnellé, 37044 Tours cedex 1, France.
Gynecologie, Obstetrique & Fertilite
|September 25, 2010
Summary
Uterine leiomyomas significantly increase risks for pregnancy complications, including preterm labor and anemia. Women with multiple leiomyomas face a substantially higher chance of cesarean delivery, highlighting the need for specialized perinatal care.
Area of Science:
- Reproductive Medicine and Obstetrics
- Gynecological Surgery and Oncology
Context:
- Uterine leiomyomas (fibroids) are common, affecting reproductive-aged women.
- Their impact on pregnancy outcomes requires further investigation.
Purpose:
- To analyze the association between uterine leiomyomas and pregnancy, delivery, and postpartum complications.
- To identify specific risk factors and outcomes in women with leiomyomas.
Summary:
- A retrospective case-control study analyzed 30,805 births over 10 years, comparing women with and without leiomyomas.
- Leiomyomas were associated with advanced maternal age, smoking, cystitis, hydramnios, threatened preterm labor, first-trimester bleeding, anemia, labor dystocia, retained placenta, and NICU admission.
- Women with multiple leiomyomas had an 8.48-fold increased risk of cesarean delivery compared to those with a single leiomyoma.
Impact:
- Findings underscore the importance of considering leiomyomas in obstetric risk assessment.
- Results suggest enhanced perinatal care for pregnant women with leiomyomas.
- The study prompts discussion on pre-pregnancy leiomyoma treatment, including non-invasive options.
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