Lubna Latif, Usman Javed Iqbal.
Obstetric outcomes in females presented with uterine fibroids at Gulab Devi Hospital Lahore.
Pak J Med Health Sci Jan ;13(4):979-81.
Aim : To determine the pregnancy outcomes in females presented with uterine fibroids Methodology: This descriptive cross sectional study was conducted at obstetric department of Gulab Devi Teaching Hospital. Using purposive sampling 50 patients were included in the study based on the history, clinical examination and ultrasound findings. All pregnant females with uterine fibroid of 2cm or more were noted. Each participant was advised to come for regular antenatal checkups. On each visit complete evaluation was done. The progress of pregnancy was monitored. Any complication such as miscarriage, abdominal pain, preterm labor, preterm delivery, placental abruption, abnormal fetal presentation was noted. Mode of delivery was recorded in females who sustained their pregnancies. A ny postpartum hemorrhage was also noted down on a structured proforma. Data were assessed and analyzed by SPSS version 20.0. Results: The mean age of study participants was 32.40± 2.15 years. 12 were primi-gravida, 27 were second gravida and 11 were ≥ 3 gravida.. 14 (28%) of 50 females had miscarriage and pregnancy was progressed in 36 (72%) females. Abdominal pain (38.8%) was most commonly reported obstetric outcome in females who sustained their pregnancy followed by preterm labour (33.3%), preterm delivery (22.2%), abnormal fetal presentation (13.8%) and placental abruption (8.3%). Postpartum hemorrhage was observed in 05 (13.8%) females. The mode of delivery by cesarean section was found in 24 (66.66%) of participants. Conclusion: Our study and evidence from literature revealed that pregnant females with fibroid uterus experience more complications. Abdominal pain is the most common antenatal complication. The fibroid cause poor progress in labor, prevent descent of fetal head or cervical dystocia. These factors can prevent normal delivery and lead to increase in cesarean section rate
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