ABSTRACT
OBJECTIVES: This article describes the most frequent reasons, complications and appropriate treatment of pregnancy with uterine myomas and pregnancy after the myomectomy. MATERIALS AND METHODS: It is the analysis of pregnancies and deliveries of 24 women hospitalised in Medical Academy of Gdansk. RESULTS: The typical complications were observed: early pregnancy loss, premature labor, cervical incompetence, abnormal presentation of the fetus, fetal death, periphlebitis and infertility. CONCLUSIONS: 1. Pregnancy connected with myomas is a high risk pregnancy because of a great number of complications. 2. There is a coincidence of myomas and pregnancy in older group of the patients. 3. The indications to cesarean section are connected rather with older age of women than with myomas. 4. Therefore it is proposed to change the indications for myomectomy during the caesarean section. It seems to be safe to join myomectomy with cesarean section because of low number of complications after this operation.
Subject(s)
Leiomyoma , Pregnancy Complications, Neoplastic , Uterine Neoplasms , Adult , Age Factors , Cesarean Section , Female , Humans , Leiomyoma/complications , Leiomyoma/diagnosis , Leiomyoma/surgery , Obstetric Labor Complications/etiology , Poland , Pregnancy , Pregnancy Complications, Neoplastic/diagnosis , Pregnancy Complications, Neoplastic/surgery , Pregnancy Outcome , Uterine Neoplasms/complications , Uterine Neoplasms/diagnosis , Uterine Neoplasms/surgeryABSTRACT
OBJECTIVES: The aim of our study was to determine the factors associated with higher incidence of trophoblastic tumours following complete hydatidiform mole. MATERIAL AND METHODS: Epidemiological and clinical factors were studied in eighty five patients with complete hydatidiform mole evacuated from 1973 to 1997 in Department of Obstetrics and Gynecology Medical University of Gdansk. Univariate and multivariate analysis were used to study of group. RESULTS AND CONCLUSIONS: In the analysis of 85 patients we found three prognostically independent factors that were associated with higher incidence of trophoblastic tumours after the complete hydatidiform mole: pre-evacuation hCG level, presence of prominent theca lutein cysts (greater than 6 cm in diameter) and molar pregnancy in the patient's past history. Persistent vomiting was a symptom of lower significance as a risk factor of trophoblastic tumour.