Myomectomy during pregnancy: an obstetric overview

Area of Science:

• Reproductive Medicine
• Obstetrics and Gynecology
• Surgical Management

Background:

• Uterine fibroids (UFs) are common, affecting 20-40% of women and 10% of pregnancies.
• UFs can cause significant complications during gestation.

Purpose of the Study:

• To review evidence on the management and treatment of uterine fibroids during pregnancy.
• To summarize outcomes and complications associated with UF treatment in pregnant individuals.

Main Methods:

• A comprehensive literature review of case reports and series was conducted.
• Data extracted included gestational age at diagnosis and surgery, fibroid size, delivery route, and perinatal outcomes.
• Two clinical cases were incorporated into the analysis.

Main Results:

• Sixty-six articles and 199 patients were analyzed.
• Myomectomy was frequently performed before 20 weeks gestation (76%), often via laparotomy (85%).
• Complications such as miscarriage or fetal demise occurred in 8% of cases.

Conclusions:

• Myomectomy is a viable option for symptomatic uterine fibroids in pregnancy.
• Surgical intervention during pregnancy is linked to a higher risk of obstetric complications.