Абстрактный

The successful outcome of pregnancy with huge lower segment fibroid.

Fatemeh Golshahi1, Raheleh Rezaei Ashtiani2*, Mona Taghavipour3

Fibroids are one of the most common benign smooth muscle tumors of the uterus. The reported prevalence of uterine fibroids in pregnancy varies between 1.6 and 10.7 percent. Pregnant women with leiomyoma are at increased risk for cesarean delivery, breech presentation, malposition, preterm delivery, placenta previa, and severe postpartum hemorrhage. Increasing size of fibroid was associated with greater rates of hemorrhage, increased estimated blood loss, and higher rates of admissions for fibroid-related pain. The first line of therapy of uterine fibroids coexisting with pregnancy is conservative, but in rare circumstances, surgical intervention and myomectomy may be required. We decided to present this case because of the successful outcome of pregnancy with huge lower segment fibroid without antenatal Myomectomy and successful Myomectomy 4 months after delivery. Our patient had no complications during pregnancy. Huge fibroid in our patient was not associated with greater rates of hemorrhage and blood transfusion and higher rates of admissions for fibroid-related pain. Nevertheless, she eventually had a preterm delivery at 32 weeks. Therefore, it is better to check the presence of uterine fibroids with ultrasound before attempting to conceive, and if there are multiple or large fibroids, to avoid the possibility of complications and premature birth, and to prevention need for various ultrasounds during pregnancy, perform myomectomy before getting pregnant if necessary, depending on the size or symptoms of the myoma.