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Case 87 - A 40-Year-Old at 24 Weeks’ Gestation Presents with Multiple Fibroids Seen on Ultrasound

from Section 10 - Complications of the Cord, Amnion, and Gravid Uterus

Published online by Cambridge University Press:  08 April 2025

By
Erin M. Conroy
Edited by
Peter F. Schnatz ,
D. Yvette LaCoursiere ,
Christopher M. Morosky ,
Jonathan Schaffir ,
Vanessa Torbenson  and
David Chelmow
Peter F. Schnatz
Affiliation:
The Reading Hospital, Pennsylvania
D. Yvette LaCoursiere
Affiliation:
University of California, San Diego
Christopher M. Morosky
Affiliation:
University of Connecticut School of Medicine
Jonathan Schaffir
Affiliation:
The Ohio State University College of Medicine
Vanessa Torbenson
Affiliation:
Mayo Clinic Alix School of Medicine
David Chelmow
Affiliation:
Virginia Commonwealth School of Medicine
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Summary

Fibroids are found in up to 10% of pregnant individuals and have been linked with multiple pregnancy complications. Most individuals will not experience fibroid-related pregnancy complications, but complications are more likely with larger and multiple fibroids. The risks of fibroids in pregnancy include preterm labor and delivery, fetal malpresentation, hemorrhage, and increased risk of cesarean delivery. Pregnant individuals should be counseled on these risks both during their antenatal care and upon admission to labor and delivery.

Keywords

fibroidspregnancycomplicationshigh-risk pregnancymyomectomy
Type
Chapter
Information
Pregnancy Complications
A Case-Based Approach
 , pp. 272 - 274
Publisher: Cambridge University Press
Print publication year: 2025

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References

American College of Obstetricians and Gynecologists’ Committee on Practice Bulletins – Gynecology. Management of Symptomatic Uterine Leiomyomas: ACOG Practice Bulletin, Number 228. Obstet Gynecol. 2021;137(6):e100–e115.CrossRefGoogle Scholar
Lam, SJ, Best, S, Kumar, S. The Impact of Fibroid Characteristics on Pregnancy Outcome. Am J Obstet Gynecol. 2014;211(4):395.e1–395.e5.CrossRefGoogle ScholarPubMed
Lee, HJ, Norwitz, ER, Shaw, J. Contemporary Management of Fibroids in Pregnancy. Rev Obstet Gynecol. 2010;3(1):20–27.Google ScholarPubMed
Ciavattini, A, Clemente, N, Delli Carpini, G, et al. Number and Size of Uterine Fibroids and Obstetric Outcomes. J Matern Fetal Neonatal Med. 2015;28(4):484–488.Google ScholarPubMed
Committee on Practice Bulletins – Obstetrics and the American Institute of Ultrasound in Medicine. Practice Bulletin No. 175: Ultrasound in Pregnancy. Obstet Gynecol. 2016;128(6):e241–e256.CrossRefGoogle Scholar
Koren, G, Florescu, A, Costei, AM, et al. Nonsteroidal Antiinflammatory Drugs during Third Trimester and the Risk of Premature Closure of the Ductus Arteriosus: A Meta-analysis. Ann Pharmacother. 2006;40:824–829.Google ScholarPubMed
Dildy, GA 3rd, Moise, KJ Jr., Smith, LG Jr., et al. Indomethacin for the Treatment of Symptomatic Leiomyoma Uteri during Pregnancy. Am J Perinatol. 1992;9:185.Google ScholarPubMed
Pergialiotis, V, Sinanidis, I, Louloudis, IE, et al. Perioperative Complications of Cesarean Delivery Myomectomy: A Meta-analysis. Obstet Gynecol. 2017;130:1295.CrossRefGoogle ScholarPubMed
Committee on Practice Bulletins – Obstetrics. Practice Bulletin No. 183: Postpartum Hemorrhage. Obstet Gynecol. 2017;130(4):e168–e186.CrossRefGoogle Scholar

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