Fibroids in pregnancy is a commonly encountered clinical entity.
Objective: To evaluate the maternal and fetal outcome in women having pregnancy with uterine fibroids.
Settings: A retrospective observational cohort study was conducted at Department of Obstetrics and Gynecology, Security Forces Hospital, Riyadh, Saudi Arabia. Women who delivered singleton newborns between June 1 and December 31, 2017, were retrospectively identified.
Results: We present the clinical, obstetric data, perinatal outcomes of 15 patients from a prospective study. Fifteen pregnant women with fibroid >3cm were prospectively included in study. Major proportion of patient with fibroids were in younger age group of 25-30 years when compared to older age group of 31-35 years (66% vs 33%). Fibroids were more frequent in multi-gravidae, compared to primigravidae. In almost half of patients, (53.3%) fibroids were diagnosed before pregnancy. Common complications encountered during pregnancy in decreasing order of frequency were pain abdomen (46.6%), followed by threatened preterm labor (26.6%) and anemia (26.6%). Out of 15, three (20%) women had abortion. In remaining, 11/12 patients attained term pregnancy between 37 to 40 weeks. Caesarean section was done in 75% of women who attained term pregnancy and one patient had technical difficulty during caesarean section. Post-partum hemorrhage was seen in 5/15 (33.3%) of patients. Out of 15, five babies were low birth weight. Four babies required NICU admission. There was no perinatal mortality.
Conclusion: In our small patient population high incidence of caesarean section rates and increased incidence of threatened preterm labor, anemia, and postpartum hemorrhage, was observed in pregnant patients with fibroids and hence, the pregnancy with fibroids should be considered as high risk pregnancy.