What is pregnancy complicated with uterine fibroids? How to deal with pregnancy complicated with uterine fibroids

How should pregnancy complicated with uterine fibroids be handled during delivery? Pregnancy complicated with uterine fibroids accounts for about 0.3% to 0.5% of the total number of pregnancies. Most pregnancies with uterine fibroids can be delivered naturally, so don't rush to intervene. However, due to the presence of fibroids, uterine contractions are affected, which can lead to uterine contraction fatigue, prolonged labor, postpartum hemorrhage, etc. Patients and birthing people should know that they should prepare in advance and observe the delivery process carefully. If the pregnant woman and fetus have abnormal conditions during delivery, the delivery indications should be appropriately relaxed. Antenatal blood preparation to prevent postpartum hemorrhage.

Larger fibroids can cause abnormal fetal position, hip position, horizontal position, etc. If the fibroids hinder the descent of the fetus, cesarean section should end the delivery. Whether it is vaginal delivery or cesarean section, pregnancy combined with uterine fibroids

Whether to remove the fibroids or uterus at the same time during cesarean section depends on the size and location of the fibroids and the specific situation of the patient. Fibroids grow rapidly during pregnancy and are often unclearly demarcated from surrounding tissues, making it difficult to remove the fibroids. If it is a subserosal fibroid or a larger interfibroid fibroid, fibroid control can be performed at the same time during cesarean section. If the fibroids are unclear or unclearly demarcated from surrounding tissues during surgery, the fibroids should be removed carefully to avoid intraoperative bleeding.

If the fibroids are multiple, the patient is older than 40 years old, has no fertility requirements, or intraoperative bleeding is difficult to correct, the patient should be consulted and a hysterectomy or subtotal hysterectomy should be performed. Patients under 45 years old may consider retaining both ovaries.

In short, special attention should be paid to pregnancy complicated by uterine fibroids during delivery, the delivery process should be carefully observed, and a dedicated person should be responsible for handling abnormal situations in a timely manner to ensure the safety of mother and baby.