Misbah Javed, Robina Tariq, Madeeha Rashid, Samia Hassan, Sumera Kanwal.
Effect of uterine fibroid on pregnancy outcome.
Pak J Med Health Sci Jan ;4(4):476-8.

Objective: The aim of this study was to see the effect of uterine fibroid on pregnancy outcome. Patients and method: This descriptive study was conducted at Services Hospital, Obstetrics & Gynaecological department, Lahore over a two year period. Total 22 pregnant patients with > 3cm were included in the study. They were followed during antenatal period. Maternal age, parity, size of fibroid, complications during pregnancy, labour and delivery, mode of delivery and indications of caesarean section were noted. Result: Out of 22 patients, 8(36.5%) were asymptomatic during pregnancy. Most common complication during antenatal period was abdominal pain in 18%, malpresentation in 13.5% and preterm labour in 9%. Eight (36.5%) delivered by vaginal route and remaining 14(63.5%) were delivered by LSCS in which 9(41%) were elective LSCS and 5(23%) were emergency LSCS. Five (23%) experienced PPH but managed conservatively. One (4.5%) patient ended up in hysterectomy due to fibroid in lower segment. There was no perinatal mortality. Conclusion: Pregnancies with uterine fibroid is a high risk pregnancy. These pregnancies had increased rate of caesarean delivery, increase chances PPH and longer stay at hospital.

PakMediNet -Pakistan's largest Database of Pakistani Medical Journals - http://www.pakmedinet.com