frequency of complications of fibroid during pregnancy

ABSTRACT

The aim was to study the prevalence of complications in pregnant women with .fibroid and their outcomes. A cross sectional comparative study from Jan.2001 to Dec.2004. It was conducted at the high-risk pregnancy clinic of obstetrics OPD Gynae CHK. 50 patients were included in the study that had been diagnosed either before or during pregnancy or as an incidental finding or referred from other health care centers and private clinics. The methodology adopted was to identify patients having pregnancy with fibroid. The patients were evaluated by taking detailed history and then regularly followed in OPD for antenatal checkup. A routine Ultrasound was performed in 2nd trimester for site of myoma and placental localization and in 3rd trimester, for malpresentation and size of myoma. During the study period 50 patients were admitted with the diagnosis of fibroid with pregnancy. Among these 12 pts [24%] were primigravida, 14[28%] were multigravida, 6 patients .[24%] were admitted with acute abdominal pain, 20 [40%] delivered vaginally 6[12%] and pregnancies ended up in abortion. The results indicate that presence offibroid leads to various complications during pregnancy but with proper care, early referral to a tertiary care unit and appropriate management and provision of healthy baby in the hand of a healthy mother is possible