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Management of Uterine Fibroids in Pregnancy

Multidisciplinary obstetric and gynecologic strategy for fibroids identified during gestation.

Written by: Saygı Hospital Health Guide Editorial Board
Published:

This content is for general information; please consult your physician for diagnosis and treatment.

References (5)

This content is for informational purposes only and does not constitute medical advice. You can book an appointment at our Kadın Hastalıkları ve Doğum department. Book Appointment →

What is Management of Uterine Fibroids in Pregnancy?

Uterine fibroids are benign smooth muscle tumors and are present in approximately 10 percent of pregnancies. Pregnancy-related hormonal changes and increased uterine blood flow can cause fibroids to grow, undergo red degeneration or shift position.

Possible complications include severe abdominal pain due to red degeneration, miscarriage, preterm labor, malpresentation, placental abruption, postpartum hemorrhage and obstructed labor when fibroids occupy the lower uterine segment. Most pregnancies with fibroids progress without major complications when monitored appropriately.

Conservative management is preferred during pregnancy, including analgesia with paracetamol or short-course NSAIDs in early pregnancy, hydration and bed rest. Myomectomy is rarely indicated. The mode of delivery depends on fibroid size and location, with planned cesarean reserved for cases obstructing the birth canal. Postpartum hemorrhage prophylaxis with active third-stage management is essential.

Symptoms

Lower abdominal pain
Pelvic pressure or fullness
Tender palpable mass
Vaginal bleeding episodes
Preterm contractions
Pain with red degeneration
Malposition of the fetus

Risk Factors

Pre-existing uterine fibroids
Advanced maternal age
African or Afro-Caribbean ethnicity
Family history of fibroids
Obesity
Multiparity with prior fibroids
Hormonal stimulation pregnancies

When to See a Doctor?

If you experience any of the following symptoms, seek medical attention promptly:

  • Severe abdominal pain in pregnancy
  • Vaginal bleeding with known fibroids
  • Reduced fetal movements
  • Preterm contractions
  • Suspected red degeneration
  • Concerns about fetal position

Treatment Methods

01
Serial ultrasound surveillance
02
Paracetamol-based analgesia
03
Short-course NSAIDs only before 30 weeks
04
Hydration and rest for red degeneration
05
Tocolysis when indicated for preterm labor
06
Cesarean delivery for obstructive fibroids
07
Active third-stage management for hemorrhage prophylaxis

Which Department to Visit?

You can visit our Kadın Hastalıkları ve Doğum department for these complaints. Our specialist physicians will create the most suitable treatment plan for you.

Learn About Kadın Hastalıkları ve Doğum Department

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Health Disclaimer: The information on this page is prepared for general informational purposes only. It does not replace medical diagnosis and treatment. Please consult your physician for your complaints. Saygı Hospital does not accept responsibility for actions taken based on the information on this page.