Is pregnancy risk high with uterine fibroids?

Uterine fibroids do have a certain impact on pregnancy, and pregnancy with uterine fibroids may also cause certain harm to the fetus, easily leading to placental adhesion or difficulty in placental expulsion, uterine atony and other hazards.

1. In fact, pregnancy and uterine fibroids affect each other. When pregnancy is complicated by uterine fibroids, the fibroids will affect the uterine cavity to a certain extent, causing deformation of the uterine cavity, lesions in the endometrium, and obstruction of the cervical canal. This may hinder the implantation of the fertilized egg and affect the growth and development of the fetus in the uterus, resulting in premature birth, miscarriage, etc. As the fibroids continue to grow and compress the uterus, it may also hinder the growth and development of the fetus, resulting in malposition of the fetus, low-lying placenta or anterior placenta, etc.

2. During delivery, if the fibroids obstruct, it may also prolong the labor process due to reduced uterine contraction. In addition, after delivery, fibroids may cause placental adhesion, difficulty in placental expulsion, uterine contraction weakness, etc., which increases the risk of postpartum hemorrhage. When women are pregnant, they secrete a lot of estrogen and progesterone, which can stimulate the growth of fibroids, causing them to grow rapidly and undergo various degenerations. Red degeneration is the main degeneration during pregnancy. As the fibroids rapidly grow and become congested, patients may experience abdominal pain, accompanied by fever, which can lead to adverse consequences such as intrauterine fetal death, miscarriage, and premature birth.

3. If red degeneration of the fibroids unfortunately occurs during pregnancy, conservative treatment such as anti-inflammatory and fluid replacement can be used, which can usually relieve the symptoms. Most pregnancies complicated by uterine fibroids are able to give birth naturally, but care must be taken to prevent postpartum hemorrhage during delivery. If cesarean section is required to terminate the pregnancy due to fibroids hindering the descent of the fetus or other obstetric factors, whether the uterine fibroids are removed at the same time during the operation also needs to be determined according to the size, location and patient condition of the fibroids. The principle is that fibroids that are easy to remove and will not cause excessive bleeding can be removed during the operation, otherwise they can be observed and treated after delivery.

4. In short, when pregnancy is complicated by uterine fibroids, it is best to find a professional doctor to first evaluate the impact of the fibroids on the pregnancy. Pay attention to monitoring during pregnancy so as to keep abreast of the growth of the fetus and uterine fibroids, and take timely and effective measures to ensure the safety of mother and child.