FETOMATERNAL OUTCOME IN PREGNANT PATIENTS WITH FIBROIDS AT A TERTIARY CARE HOSPITAL
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Keywords
Uterine fibroids, fetomaternal outcomes, pregnancy complications, cesarean delivery, maternal health
Abstract
Objectives: This study intends to analyze the fetomaternal outcomes in pregnant women with uterine fibroids and determine the relationship between fibroid size and complications throughout pregnancy.
Materials and Methods: This prospective observational study of a tertiary care hospital was conducted on 200 pregnant women diagnosed with fibroids. Participants were analyzed according to the size and location of the fibroid and the obstetric outcomes documented.
Results: According to the results, fibroid size played a significant role in adverse outcomes, including preterm labor in 10% of the cases, placental abruption in 5%, and postpartum hemorrhage in 8%. Fibroids of bigger size were strongly related to an increased risk of cesarean deliveries, mainly because of obstructed labor (OR = 6.84; p < 0.01).
Conclusion: Most women with uterine fibroids can conceive and give birth to healthy babies. However, proper planning and close supervision are essential should fibroids enlarge because they are associated with complications during pregnancy.
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Dr Shazia Tabassum
Assisstant Professor, Department of Obstetrics & Gynaecology, Hayatabad Medical Complex, Peshawar, Pakistan
Dr Maria Saleem
Mentor MRCOG1, Medhome Institute Islamabad, Pakistan
Dr Abeera Riaz Bhatti
House Officer, Department of Obstetrics & Gynaecology, Lahore General Hospital, Pakistan
Dr Sumayya
Women Medical Officer of Obstetrics & Gynaecology, Women and Children Hospital Rajjar, Charsadda, Pakistan
Dr Surraya Israr
Associate Professor, Department of Obstetrics & Gynaecology, GKMC /BKMC Swabi KPK, Pakistan
Dr Noor Fatima
PGR, Department of Obstetrics & Gynaecology, Shaikhzayed Hospital, Lahore, Pakistan