What is the delivery method for pregnancy complicated with uterine fibroids? What is the best way to deliver a baby during pregnancy complicated with uterine fibroids?

Many patients with uterine fibroids may also encounter pregnancy during the onset of uterine fibroids. During pregnancy, patients with uterine fibroids must pay attention to delivery, because delivery is not only related to the health of the patient, but also to the health of the patient's children. Below we introduce how to choose pregnancy and delivery with uterine fibroids.

Pregnancy complicated by uterine fibroids is not an absolute sign for cesarean section. On the one hand, the patient's delivery method depends on obstetric conditions, such as fetal position, labor force, and whether the cephalopelvic disproportion is present. In addition, the location and size of the fibroids will also affect the choice of delivery method. For patients with uterine fibroids, if the fetal position is not as good as breech or transverse position, the fibroids are embedded in the pelvic cavity, hindering the fetus from being exposed and descending first, and there is a history of uterine myomectomy before pregnancy, entering the uterine cavity, and imaging examinations show that the placenta is attached to the surface of the fibroids, which may lead to heavy bleeding after placental detachment. The fetus is precious and the signs of cesarean section can be relaxed.

In the past, it was believed that the uterus is rich in blood supply during pregnancy, and the removal of uterine fibroids during cesarean section may cause heavy bleeding. However, it has recently been found that due to the physiological contraction of the uterus and the sensitivity of the postpartum uterus to oxytocin, the amount of intraoperative bleeding has not increased. In addition, if the fibroids are not removed during cesarean section, the uterine fibroids may affect the recovery of the uterus, prolong the time of postpartum lochia, and even cause secondary infection, increasing the chance of postpartum hemorrhage and pelvic infection; although the uterine fibroids can shrink after delivery, they will not disappear completely, and the patient may face reoperation. Therefore, most scholars believe that the removal of uterine fibroids during cesarean section is safe and feasible, but the cases should be strictly selected and oxytocin or vascular blocking technology should be used in a timely manner.

The above content introduces the common sense of uterine fibroids in detail, as well as the precautions for pregnancy and delivery methods of uterine fibroids. Here, we hope that patients with uterine fibroids must pay attention to the choice of delivery method during pregnancy, and hope that patients with uterine fibroids can recover as soon as possible.