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Fibroids in Pregnancy: A Case Series
Sofia Amber1, Asma Fahad2, Sadia Maqbool1
1Obstetrics and Gynaecology, Latifa Women and Children Hospital, Dubai, ARE.
Cureus
|August 11, 2025
Summary
Uterine fibroids during pregnancy can lead to preterm birth and cesarean delivery, especially when large or located in the lower uterus. Careful monitoring and delivery planning are crucial for positive maternal and fetal outcomes.
Area of Science:
- Obstetrics and Gynecology
- Maternal-Fetal Medicine
- Reproductive Health
Background:
- Uterine fibroids are common benign tumors impacting pregnancy outcomes.
- Fibroid characteristics (size, number, location) influence maternal and fetal health.
- This case series examines clinical outcomes in pregnancies complicated by uterine fibroids.
Observation:
- Three pregnant women with uterine fibroids were monitored throughout their pregnancies.
- Fibroids varied in size (4.4x4.5 cm to 12x11.2 cm) and location (cervix, lower uterine segment, subserosal).
- All deliveries were cesarean sections between 35 and 36 weeks gestation.
Findings:
- Large or lower-segment fibroids increased risks of preterm birth and cesarean delivery.
- Cervical fibroids presented intraoperative challenges during cesarean sections.
- Neonatal respiratory distress occurred in two infants; no birth asphyxia was reported.
- Maternal outcomes were favorable with no major postoperative complications.
Implications:
- Pregnancies with uterine fibroids require careful antenatal surveillance.
- Individualized delivery strategies are essential for optimizing outcomes.
- Management of fibroids in pregnancy necessitates a multidisciplinary approach.
