CLINICAL ASSESSMENT OF COMPLICATIONS & TYPE OF DELIVERY IN PREGNANT FEMALES DIAGNOSED WITH FIBROID UTERUS

Abstract

Fibroid (myoma) is the most common benign tumors of the uterus. Effect of pregnancy on myoma may be stimulatory and it can lead to unpredictable and impressive growth during pregnancy. These tumors respond differently in different women. Fibroids may grow, regress or remain unchanged in size during pregnancy. Though in some cases it does not affect the outcome of pregnancy but they are associated with complications like preterm labor, IUGR, abortion, PROM, uterine dysfunction, placental abruption, and obstructed labor, increased risk of cesarean delivery, breech presentation, malposition. Hence based on above findings the present study was planned for Clinical Assessment of Complications & Type of Delivery in Pregnant Females Diagnosed with Fibroid Uterus.

The present study was planned in Department of Obstetrics and Gynaecology, Madhubani Medical College and Hospital, Madhubani, Bihar. In the present study 15 females diagnosed with the fibroid undergone the delivery were enrolled in the present study.

Though many of the fibroids are asymptomatic, but may adversely affect the course of pregnancy and labor depending on their location and size. The data generated from the present study concludes that pregnancy with Fibroids is considered High-Risk. Timely diagnosis and tertiary care referral and Management of Antepartum, Intrapartum, Postpartum complications with good neonatal care leads to successful outcome. Caesarean Myomectomy in selected cases can prove beneficial.

Keywords: Complications, Type of Delivery, Pregnant Females, Fibroid Uterus, etc.