What should pregnant women do if they are diagnosed with uterine fibroids? How should pregnant women treat uterine fibroids?

First, what should pregnant women do when checking for uterine fibroids?

Experts suggest that if a pregnant woman finds uterine fibroids during pregnancy, the best treatment is no treatment. However, no treatment does not mean ignoring it. Regular examinations must be performed to pay attention to changes in the size of the fibroids and to observe whether the pregnant woman has symptoms and whether it affects the pregnancy process.

During pregnancy, the uterus is an organ rich in blood, especially in the late pregnancy. If a myomectomy is performed during delivery, it will increase a lot of unnecessary bleeding and make it more difficult to stop bleeding.

Therefore, in most cases, obstetricians and gynecologists do not recommend treating uterine fibroids during delivery. If larger fibroids are treated during delivery, the scope of surgery and damage to the uterus will increase. Therefore, if fibroids really need to be treated, doctors will recommend waiting until the uterus returns to its normal size after delivery (after 6 weeks postpartum), the fibroids will also shrink, and the damage to the uterus will be relatively small.

1. If the diameter of the uterine fibroid is less than 6cm and there are no particularly obvious symptoms, regular prenatal examinations should be performed to pay attention to whether the fibroid has red degeneration. Most pregnant women can give birth vaginally without special treatment.

If the diameter of the uterine fibroid is greater than 6 cm, the development of the fibroid should be closely observed during regular prenatal examinations. When the pregnancy exceeds 37 weeks, the delivery method should be determined based on the location of the fibroid growth, the fetus, and the pregnant woman.

3. If a pregnant woman has serious complications during pregnancy, such as premature birth, obstructed labor, or postpartum hemorrhage, she may consider undergoing a myomectomy before the next pregnancy.

What harm does uterine fibroids do to pregnant women?

During pregnancy, if there are uterine fibroids, it will definitely have a certain impact on pregnancy, including high miscarriage rate, malposition of fetus, high rate of dystocia, high rate of cesarean section, large amount of postpartum hemorrhage, etc. After pregnancy, the hormone level in the body rises, and uterine fibroids are likely to continue to increase, and even lead to fetal maldevelopment and miscarriage.

Uterine fibroids will change as a woman's pregnancy progresses, some uterine fibroids will change position, some uterine fibroids will gradually increase in size, and some uterine fibroids will cause abdominal pain and uterine contractions due to tissue congestion and thrombosis after pregnancy. This is very threatening to pregnancy.

In addition to increasing the likelihood of miscarriage, the most common presentation of uterine fibroids during pregnancy is lower abdominal pain due to rapid growth of the fibroids, or torsion and ischemic necrosis of subserosal (outside the uterus) fibroids.

What should I pay attention to if I have uterine fibroids after pregnancy?

1. After pregnancy, you must undergo regular pregnancy checks as required by your doctor so that you can keep track of the growth of the fetus and fibroids and take timely measures.

2. After a woman becomes pregnant, uterine fibroids will grow rapidly and may also become red due to thrombosis, which is mainly manifested as lower abdominal pain, nausea, vomiting, etc. Most of the pain will be relieved on its own. If it cannot be relieved, surgery to remove the fibroids should be considered.

3. In late pregnancy, uterine fibroids may also be combined with incorrect fetal position, which may lead to uterine atony or delayed labor during delivery. At this time, the doctor needs to take emergency measures according to the condition of the fibroids, such as cesarean section or fibroid removal.

4. Avoid moderate or severe physical labor and rest in bed if necessary.

5. Increase nutrition, especially eat more blood-enriching foods, such as duck blood, animal liver, wolfberry and jujube porridge, sesame paste, shepherd's purse, spinach, etc., to prepare for bleeding.

6. Adjust your mentality. Beijing Tianlun Hospital experts pointed out that you should consciously improve your psychological endurance. Because pregnant women with uterine fibroids have significantly higher rates of miscarriage, dystocia and other abnormal pregnancies than normal people. In addition, you must be mentally prepared for cesarean section and maintain a positive and optimistic attitude.

7. First of all, you should strictly control your sex life. After you are sick, you should pay attention to controlling your sex life, which can effectively reduce the probability of miscarriage and infection. Avoid all physical labor. If necessary, you should pay attention to bed rest.