What are the effects of uterine fibroids on women during pregnancy?

Uterine fibroids are a relatively common gynecological disease, but the incidence of pregnancy complicated by uterine fibroids is only 0.3% to 2.6%. Because it concerns the fetus, the occurrence of uterine fibroids during pregnancy can have many effects on the patient and the fetus.

The size and location of fibroids have different effects on pregnancy, such as causing miscarriage or premature birth. Usually, if it is a single large or multiple submucosal or intramural fibroids, as the disease progresses, the enlarged fibroids will squeeze the uterus and cause the uterine cavity to deform, or cause the uterine cavity pressure to increase, triggering uterine contractions and causing miscarriage or premature birth.

If the fibroids are located in the cervix or lower part of the uterine body or are incarcerated in the pelvic cavity, it may affect the entry or descent of the fetal presenting part into the pelvis, resulting in obstructive dystocia. If this situation is not treated in time, it may endanger the life of the pregnant woman. Multiple uterine fibroids, especially intramural fibroids, are an important cause of postpartum hemorrhage because they can cause adverse uterine contractions. In addition, intrauterine infection and late uterine bleeding are both caused by poor uterine involution and poor lochia drainage caused by fibroids.

If uterine fibroids are diagnosed in the early or middle stages of pregnancy, you must pay attention to a series of complications caused by the growth of fibroids, especially red degeneration and various degenerative changes. Close monitoring and timely and effective treatment are required. If necessary, the pregnancy should be terminated immediately to avoid endangering the life of the pregnant woman.