A small number of pregnant women may have uterine fibroids. In case of pain or discomfort due to fibroids in pregnancy, your doctor may suggest bed rest, proper hydration and mild pain relievers to manage the symptoms.
Fibroids during pregnancy can increase the risk of complications such as miscarriage, preterm labour, placental abruption, and postpartum haemorrhage.
Large fibroids can compress the uterus, restricting the space available for the growing fetus and potentially leading to intrauterine growth restriction (IUGR). Fibroids can also cause fetal malpresentation, increasing the likelihood of breech birth.
Symptoms of fibroids during pregnancy can include pelvic pain, pressure, frequent urination, and constipation. However, diagnosing fibroids during pregnancy can be challenging due to overlapping symptoms with normal pregnancy discomfort.
Regular prenatal check-ups are crucial for monitoring the size and location of fibroids during pregnancy. Ultrasound and other imaging techniques are used to assess the impact of fibroids on pregnancy.
Conservative management approaches for fibroids during pregnancy include bed rest, pregnancy-safe pain relief medications, and hormonal therapy to help manage symptoms and control fibroid growth.
Surgical intervention may be necessary if fibroids significantly impact the pregnancy or cause severe symptoms. Common surgical procedures include myomectomy (removal of fibroids while preserving the uterus) and, in rare cases, hysterectomy (removal of the uterus).
Surgical interventions during pregnancy carry potential risks, such as infection and preterm labour. However, they may be necessary to alleviate severe symptoms or prevent complications that could risk the pregnancy.
Providing comprehensive education to pregnant women with fibroids is important. Emotional support and counselling should also be offered to address any anxiety or distress related to fibroids during pregnancy.
After delivery, managing fibroids may vary depending on the woman's symptoms and reproductive plans. A postpartum follow-up with the doctor is important to assess the status of fibroids and get treatment options.
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