Uterine fibroids during pregnancy

Nowadays, many pregnant women suffer from uterine fibroids, a gynecological disease, and many women are worried about their health. The most important thing is whether it will affect the normal development of the baby, and they are troubled by this every day. So today I will explain to you how to deal with uterine fibroids during pregnancy. Let’s take a look together below.

The incidence of infertility in patients with uterine fibroids is approximately 22%-32%. It is a good thing if they can become pregnant. However, in early pregnancy, the incidence of miscarriage due to fibroids is 20%-30%. Since the tumor space affects the normal movement of the fetus in the uterine cavity, the incidence of abnormal fetal position is high, with the incidence of breech presentation as high as 24%, transverse presentation at 13%, or the presenting part not entering the pelvis. Fibroids affect the normal attachment and development of the placenta, leading to more frequent placenta previa or placental abruption.

The presence of uterine fibroids after delivery can cause uterine contraction dysfunction, making primary or secondary uterine atony more likely to occur, leading to prolonged labor or even dystocia. Fibroids can affect the normal separation of the placenta and increase the rate of placental retention. As the pregnant uterus grows, uterine fibroids also grow significantly, degenerating or compressing adjacent organs. The unique degeneration of fibroids during pregnancy is red degeneration, and subserosal fibroids are prone to pedicle torsion. The treatment of uterine fibroids combined with pregnancy requires rigorous treatment. The incidence of infertility is high, miscarriage after pregnancy accounts for a certain proportion, and there are many complications during pregnancy. Pregnancy care is particularly important. The treatment of complications requires appropriateness, and careful observation after delivery is required, whether it is a normal birth or a cesarean section, to prevent bleeding. If there is a bleeding trend, timely treatment should be given to prevent accidents.

2 Symptoms

Whether uterine fibroids have symptoms and their severity mainly depends on the location, size, number and complications of the fibroids. Some fibroids are small, slow-growing, and asymptomatic and can remain undetected throughout life. Due to the widespread use of B-type ultrasound examination, many patients are found to have uterine fibroids through B-ultrasound examination during routine physical examinations, but they themselves have no symptoms. Most patients seek medical attention because of symptoms. Common symptoms of uterine fibroids include uterine bleeding, abdominal masses, vaginal discharge, compression symptoms, etc.

NO1. Uterine bleeding

Uterine bleeding is the most common symptom of uterine fibroids. Clinically, it may manifest as menorrhagia, cyclical bleeding, increased menstrual volume, often accompanied by prolonged menstruation. This type of bleeding is the most common; frequent menstruation, shortened menstrual cycle, increased menstrual volume; irregular bleeding, loss of normal periodicity, long duration, sometimes more, sometimes less, and continuous bleeding, which is more common in submucosal myomas.

NO2, abdominal mass

The uterus is located deep in the pelvic cavity, and no lump can be felt in the abdomen when fibroids first occur. When uterine fibroids gradually increase in size, causing the uterus to exceed the size of a 3-month pregnancy, or when subserosal fibroids located at the bottom of the uterus are easier to touch from the abdomen. The lump is located in the middle of the lower abdomen, is solid, movable but not very mobile, non-tender, and grows slowly. If the patient's abdominal wall is thick, the uterus is enlarged, or it extends beyond the pelvic cavity and even reaches the size of a 4-5 month pregnancy, it is still difficult for the patient to discover it herself.

NO3, vaginal discharge

Uterine submucous fibroids or cervical submucous fibroids can cause increased leucorrhea. Once the tumor is infected, there may be a large amount of purulent leucorrhea. If there is ulceration, necrosis, and bleeding, there may be bloody or purulent vaginal discharge with a foul odor.

The above are some symptoms of uterine fibroids during pregnancy introduced to us by professionals, so we should pay more attention to our body movements. If we find the above symptoms, we should go to the hospital for treatment in time and do not delay. Otherwise, it will not only delay our own health, but also indirectly affect the baby's development.