Abstract
Background: The most frequent benign tumours of the female reproductive system are uterine fibroids, which have a significantly lower incidence during pregnancy because they are linked to infertility and have poor implantation rates following in vitro fertilisation.
Aims & objectives: The purpose of this study was to examine the difficulties associated with uterine fibroids during pregnancy and their effects on obstetric outcomes in a tertiary hospital.
Material and Methods: The current study was a retrospective, hospital-based investigation into women who were identified as being pregnant with fibroid.
Results: The study included 152 pregnant women who had fibroid during pregnancy. The age groups of 26 to 30 years accounted for the majority of patients (44.74%), followed by 31 to 35 years (27.63%). Most patients (43.42%) were in the gestational stages 2-3. We observed that the majority of patients (68.42%) had subserous fibroids. found at the fundus area (73.68%), and a USG examination revealed 2-3 fibroids (47.37%). In the current study, the majority of cases (89.48%) were carried to term, while 3 cases were terminated, 2 cases gave birth between 21 and 32 weeks, and 3 cases gave birth between 33 and 37 weeks. The most frequent method of delivery was a caesarean section (71.05%), which was followed by vaginal delivery (19.74%). In addition to threatened preterm labour (15.79%), blood transfusion (14.47%), postpartum haemorrhage (9.21%), antepartum bleeding (7.89%), and threatened miscarriage (5.26%), patients in 60.53 percent of cases were asymptomatic throughout their pregnancies. Common problems included low APGAR Score at 5 minutes (10.53%), required resuscitation (10.53%), required NICU hospitalisation (17.11%), and low birth weight (5.26%). Abortion (3.95%), newborn stillbirth (1.32%), and neonatal mortality (1.32%) were the three foetal outcomes.
Conclusion: Pregnancies with fibroids carry a higher risk of difficulties throughout the antepartum, intrapartum, and postpartum periods. They are also more likely to result in caesarean sections and PPH.
Keywords: Uterine fibroids, pregnancy complications, maternal complications, postpartum hemorrhage