The Effect of Small Size Uterine Fibroids on Pregnancy Outcomes in High-risk Pregnancies

Abstract Objective To evaluate the obstetric outcomes of singleton high-risk pregnancies with a small size uterine fibroid. Methods This retrospective cohort study was conducted among 172 high-risk pregnant women who were followed-up by a single surgeon between 2016 and 2019. Pregnant women with preconceptionally diagnosed small size (< 5 cm) single uterine fibroids (n = 25) were compared with pregnant women without uterine fibroids (n = 147) in terms of obstetric outcomes. Results There was no statistically significant difference between the groups in terms of adverse pregnancy outcomes. The size of the fibroids was increased in 60% of the cases, and the growth percentage of the fibroids was 25% during pregnancy. Intrapartum and short-term complication was not observed in women who underwent cesarean myomectomy. Conclusion Small size uterine fibroids seem to have no adverse effect on pregnancy outcomes even in high-risk pregnancies, and cesarean myomectomy may be safelyperformed in properly selected cases.

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Main Authors: Cagan,Murat, Tanacan,Atakan, Donmez,Hanife Guler, Fadiloglu,Erdem, Unal,Canan, Beksac,Mehmet Sinan
Format: Digital revista
Language:English
Published: Federação Brasileira das Sociedades de Ginecologia e Obstetrícia 2020
Online Access:http://old.scielo.br/scielo.php?script=sci_arttext&pid=S0100-72032020000900535
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spelling oai:scielo:S0100-720320200009005352020-10-21The Effect of Small Size Uterine Fibroids on Pregnancy Outcomes in High-risk PregnanciesCagan,MuratTanacan,AtakanDonmez,Hanife GulerFadiloglu,ErdemUnal,CananBeksac,Mehmet Sinan uterine fibroid myoma pregnancy CS myomectomy Abstract Objective To evaluate the obstetric outcomes of singleton high-risk pregnancies with a small size uterine fibroid. Methods This retrospective cohort study was conducted among 172 high-risk pregnant women who were followed-up by a single surgeon between 2016 and 2019. Pregnant women with preconceptionally diagnosed small size (< 5 cm) single uterine fibroids (n = 25) were compared with pregnant women without uterine fibroids (n = 147) in terms of obstetric outcomes. Results There was no statistically significant difference between the groups in terms of adverse pregnancy outcomes. The size of the fibroids was increased in 60% of the cases, and the growth percentage of the fibroids was 25% during pregnancy. Intrapartum and short-term complication was not observed in women who underwent cesarean myomectomy. Conclusion Small size uterine fibroids seem to have no adverse effect on pregnancy outcomes even in high-risk pregnancies, and cesarean myomectomy may be safelyperformed in properly selected cases.info:eu-repo/semantics/openAccessFederação Brasileira das Sociedades de Ginecologia e ObstetríciaRevista Brasileira de Ginecologia e Obstetrícia v.42 n.9 20202020-09-01info:eu-repo/semantics/articletext/htmlhttp://old.scielo.br/scielo.php?script=sci_arttext&pid=S0100-72032020000900535en10.1055/s-0040-1713913
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language English
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author Cagan,Murat
Tanacan,Atakan
Donmez,Hanife Guler
Fadiloglu,Erdem
Unal,Canan
Beksac,Mehmet Sinan
spellingShingle Cagan,Murat
Tanacan,Atakan
Donmez,Hanife Guler
Fadiloglu,Erdem
Unal,Canan
Beksac,Mehmet Sinan
The Effect of Small Size Uterine Fibroids on Pregnancy Outcomes in High-risk Pregnancies
author_facet Cagan,Murat
Tanacan,Atakan
Donmez,Hanife Guler
Fadiloglu,Erdem
Unal,Canan
Beksac,Mehmet Sinan
author_sort Cagan,Murat
title The Effect of Small Size Uterine Fibroids on Pregnancy Outcomes in High-risk Pregnancies
title_short The Effect of Small Size Uterine Fibroids on Pregnancy Outcomes in High-risk Pregnancies
title_full The Effect of Small Size Uterine Fibroids on Pregnancy Outcomes in High-risk Pregnancies
title_fullStr The Effect of Small Size Uterine Fibroids on Pregnancy Outcomes in High-risk Pregnancies
title_full_unstemmed The Effect of Small Size Uterine Fibroids on Pregnancy Outcomes in High-risk Pregnancies
title_sort effect of small size uterine fibroids on pregnancy outcomes in high-risk pregnancies
description Abstract Objective To evaluate the obstetric outcomes of singleton high-risk pregnancies with a small size uterine fibroid. Methods This retrospective cohort study was conducted among 172 high-risk pregnant women who were followed-up by a single surgeon between 2016 and 2019. Pregnant women with preconceptionally diagnosed small size (< 5 cm) single uterine fibroids (n = 25) were compared with pregnant women without uterine fibroids (n = 147) in terms of obstetric outcomes. Results There was no statistically significant difference between the groups in terms of adverse pregnancy outcomes. The size of the fibroids was increased in 60% of the cases, and the growth percentage of the fibroids was 25% during pregnancy. Intrapartum and short-term complication was not observed in women who underwent cesarean myomectomy. Conclusion Small size uterine fibroids seem to have no adverse effect on pregnancy outcomes even in high-risk pregnancies, and cesarean myomectomy may be safelyperformed in properly selected cases.
publisher Federação Brasileira das Sociedades de Ginecologia e Obstetrícia
publishDate 2020
url http://old.scielo.br/scielo.php?script=sci_arttext&pid=S0100-72032020000900535
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