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Chapter 2 - Fibroids in Pregnancy

Published online by Cambridge University Press:  14 July 2023

By
T. Justin Clark  and
Lina Antoun
Edited by
Swati Jha  and
Priya Madhuvrata
Swati Jha
Affiliation:
Sheffield Teaching Hospital NHS Foundation Trust
Priya Madhuvrata
Affiliation:
Sheffield Teaching Hospital NHS Foundation Trust
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Summary

Women with uterine fibroids are more likely to have pregnancies complicated by fetal and maternal complications. Women should be counselled that the risks of obstetrical complications are increased with the presence of fibroids in pregnancy. There are still no adequate data on the optimum management strategy of fibroids in pregnancy. In women with prior myomectomy, a plan for labour and vaginal delivery is reasonable in those who did not have extensive myometrial dissection or entry into the endometrial cavity. Alternately, for those who choose an approach of scheduled Caesarean delivery, timing at 37–38 weeks’ gestation is reasonable.

Keywords

fibroidspreterm labourmiscarriageplacenta abruptionCaesarean deliverymyomectomy
Type
Chapter
Information
Gynaecology for the Obstetrician , pp. 14 - 22
Publisher: Cambridge University Press
Print publication year: 2023

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