What to do if you have uterine fibroids during pregnancy

Being able to successfully conceive a healthy baby is a particularly happy thing for many families, but many women often suffer from uterine fibroids during pregnancy. This often puts female friends in a dilemma. They often don't know what to do. They don't know whether uterine fibroids will have a certain impact on the child, and they don't know whether pregnancy will make uterine fibroids more serious. So what should you do if you have uterine fibroids during pregnancy? Let's find out together.

Uterine fibroids are the most common benign tumors in the female reproductive organs and one of the most common tumors in the human body. They are also called fibroids, uterine fibroids, and uterine leiomyoma. If a patient with uterine fibroids becomes pregnant, the hormonal changes in the body after pregnancy will stimulate the uterine fibroids, causing them to increase in size during pregnancy, making them more susceptible to fibroid degeneration and increasing the risk of miscarriage, premature birth, cesarean section, and postpartum hemorrhage. The harm of uterine fibroids to pregnancy mainly depends on the size, location and number of uterine fibroids.

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1. Pre-pregnancy consultation and treatment

If the uterine fibroids are non-submucosal and are 4 cm in diameter, they are prone to induce degeneration and miscarriage (premature birth) during pregnancy. It is recommended to undergo a uterine fibroid removal before pregnancy and then become pregnant.

2. Pregnancy monitoring

Regular B-ultrasound check-ups during pregnancy should be performed to understand changes in the fibroids. Generally, fibroids will increase significantly during pregnancy. If there are no symptoms, no treatment is needed.

3. Treatment of uterine fibroid degeneration during pregnancy

If the patient's fibroids degenerate during pregnancy, causing uterine contractions, hospitalization is required and antibiotics can be given. If the uterine contractions are obvious, drugs that inhibit uterine contractions can be given.

4. Childbirth

If the fibroids do not block the birth canal, vaginal delivery is possible. However, uterine contractions and progress should be monitored during labor. If uncoordinated contractions or weak contractions occur and treatment is ineffective, a cesarean section may be required. Be alert to placental adhesion after delivery and postpartum hemorrhage caused by poor uterine contractions.

5. Cesarean section

It is suitable for patients whose birth canal is blocked by uterine fibroids or who have other obstetric indications for cesarean section. The size of uterine fibroids can be detected during the operation. Because fibroids are rich in blood vessels and have unclear boundaries during pregnancy, they can easily cause heavy bleeding during peeling. Therefore, it is not recommended to perform myomectomy during cesarean section, unless it is a subserosal fibroid or a pedunculated fibroid, which can be removed during cesarean section because of its low surgical risk.

The above is an introduction to what to do if you have uterine fibroids during pregnancy. After understanding it, I hope that many female friends will go to the hospital to consult a doctor in time when they encounter such symptoms, and go to the hospital regularly for prenatal check-ups. If you feel unwell, you must go to the hospital for treatment in time. You must also maintain good living habits and eat more light and nutritious foods.