CLINICAL AUDIT OF FOETOMATERNAL OUTCOME IN PREGNANCIES WITH FIBROID UTERUS
Abstract
Background: Leiomyoma, myoma, leiomyoma or fibroids are synonymous terms. They may bepresent in as many as 1 in 5 women over age 35 years. If pregnancy is associated with fibroids, it leadsto multiple complications. Objectives of this study were to evaluate the maternal and foetal outcome inwomen having pregnancy with fibroids in uterus and the complications associated with fibroids duringthe pregnancy. Methods: This descriptive study was conducted in the Department of Obstetrics andGynaecology, Ayub Teaching Hospital Abbottabad from March 2009 to March 2010. Data werecollected on performa regarding demographic variables, obstetrical history, mode of delivery, maternaloutcome, maternal complications, and foetal outcome. Mean and standard deviation was calculated forage, period of gestation, and obstetrical history. Frequency and percentages was calculated for bookingstatus, maternal outcome, maternal complications and foetal outcome. Results: Thirty patients wereincluded in this study who had pregnancy with fibroid. Normal delivery was achieved in 14 (46.66%)patients. Eight (26.67%) patients had caesarean section and eight (26.67%) had miscarriages. Seven(23.33%) patients had no complications while 8 (26.67%) had miscarriages, 8 (26.67%) had postpartumhaemorrhage, 10 (33.33%) had preterm delivery, and 3 patients had ante-partum haemorrhage. Two(10%) patients had premature rupture off membranes and 1 patient (3.33%) had pain abdomen andtechnical difficulty during caesarean section. There were 12 (40%) healthy babies. Five (16.67%)babies delivered with morbidity but recovered. There were 4 (13.33%) intrauterine deaths and one earlyneonatal death. Conclusion: Fibroid in pregnancy, especially multiple intramural fibroids and fibroidslarger than 10 Cm, cause miscarriage and preterm labour.Keywords: Leiomyoma, myoma, fibroid, maternal complication, foetal outcomeReferences
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