Related Experiment Videos
Do uterine leiomyomas influence pregnancy outcome?
P Vergani1, A Ghidini, N Strobelt
1Department of Obstetrics and Gynecology, III Branch of the University of Milan, Ospedale San Gerardo, Monza, Italy.
American Journal of Perinatology
|September 1, 1994
Summary
Uterine fibroids (leiomyomas) in pregnancy do not increase most complications. However, fibroid location and size significantly predict the need for cesarean delivery.
Area of Science:
- Obstetrics and Gynecology
- Reproductive Medicine
Background:
- Uterine leiomyomas (fibroids) are common benign tumors.
- Their impact on pregnancy outcomes requires further elucidation.
Purpose of the Study:
- To assess the clinical significance of uterine leiomyomas during pregnancy.
- To determine the association between fibroid characteristics and pregnancy complications.
Main Methods:
- Retrospective cohort study comparing 183 pregnant women with uterine myomas to a control group.
- Data collected via routine second-trimester ultrasound examinations.
- Analysis included incidences of preterm delivery, growth retardation, and hemorrhage, alongside cesarean section rates.
Main Results:
- No significant increase in preterm delivery, growth retardation, or hemorrhage observed in women with fibroids.
- Cesarean section rates were significantly higher in women with fibroids (23% vs. 12%).
- Lower uterine segment location and fibroid size >5 cm independently predicted higher cesarean section rates.
Conclusions:
- Uterine fibroids do not elevate the risk of most common pregnancy complications.
- Fibroid location and size are critical factors influencing the likelihood of cesarean delivery.
- These findings aid in counseling and managing pregnant women with uterine leiomyomas.