DOI: 10.36347/sjams.2017.v05i03.002

Pages: 694-698

Women with uterine fibroids are more likely have pregnancies complicated by fetal malpresentation, preterm birth, and preterm premature rupture of membranes (PPROM), placenta previa, placental abruption, cesarean delivery, and severe postpartum hemorrhage. Objective of this study was to assess the prevalence and obstetric complications of fibroids during pregnancy. This cross-sectional study was carried out in Department of Obstetrics & Gynecology, Sri Aurobindo Medical College& Post Graduate Institute Hospital, Indore (M.P). Data of all patients who presented with fibroid during pregnancy during one years i.e., from Sept 2015 to Sept 2016 was recorded on a proforma. Thirty-two patients were diagnosed to have fibroids during pregnancy out of 2400 deliveries, thus prevalence was 1.33% in our hospital. Fibroids were found less common in patients in their first pregnancy (8, 25%). Twenty-three (71.87%) patients were delivered by caesarean section, and in one (3.12%) patient hysterectomy was performed. Failure to progress and fetal distress was the commonest indication for caesarean section (10, 43.47%) followed by breech presentation (4, 17.39%), cord prolapse (1, 3.12%) and fibroids in the lower segment (3, 13.04%). Anemia was the commonest complication (12, 40.62%) followed by postpartum haemorrhage (PPH) (7, 21.87%). Premature rupture of membranes and cord prolapse was seen in 1(3.12%) patients each. Two (6.25%) patients underwent abdominal hysterectomy.