Theory and Practice in Medicine, 2015 Vol. 21 No. 4.3
EFFECT OF FIBROIDS ON PREGNANCY AND DELIVERY
Jekaterina Plikosova, Diana Ramašauskaitė, Gediminas Mečėjus
Correspondence Address: firstname.lastname@example.org
Key words: fibroids, pregnancy, delivery, pregnancy outcomes.
Objective. To evaluate the frequency of uterine fibroids during pregnancy and estimate their impact on the course of pregnancy and delivery and its outcome.
Methods. We accessed the obstetric database of women who gave birth in Vilnius City Clinical Hospital, Clinic of Obstetrics and Gynaecology from the 1st of January, 2013 till the 31st of December, 2014. Selection criteria: uterine fibroids during pregnancy. Maternal, neonatal and delivery outcomes were the main variables of interest. The results were analyzed using
SPSS 20.0 software. The data were significant at p <0.05 level. Results. 55 pregnant women with uterine fibroids were enrolled, this is only 1,1 % of women given birth in Vilnius City
Clinical Hospital from 01.01.2013 till 31.12.2014. The mean duration of pregnancy was 39 ± 1,47, in 2 cases (4 %) was preterm birth. Vaginal delivery was in 19 cases (35 %) and 36 (65 %) of the patients had caesarean section. The most common indication for caesarean section was dystocia, 10 cases (28 %). Mean fibroid size was 5.1 ± 1.99 cm (range from 2 cm to 9
cm). The duration of pregnancy was similar in cases when fibroid was small (up to 5 cm) and when fibroid was large (over 5cm). 20 (36 %) of the patients had delivery complications and the most common was – dystocia, 10 cases (50 %). The mean birth weight was 3 439 ± 542.6 g. Newborns with birth weight less than 10 percentile was in 7 cases (13 %) and with birth weight above 90 percentile in 6 cases (11 %). Specific neonatal complications were not observed.
Conclusion. The incidence of uterine fibroids during pregnancy is low. They do not have a significant impact on the course and duration of pregnancy, as well on the newborn condition at birth, but significantly affects the type of delivery – increase the risk of cesarean delivery.
October 5, 2015. Accepted:
October 26, 2015.