The prevalence of fibroids in pregnancy ranges from 2%to 10%.About 10%of these fibroids lead to complications in pregnancy including pain,intrauterine growth restriction,morbidly adherent placentation,placental abrupt...The prevalence of fibroids in pregnancy ranges from 2%to 10%.About 10%of these fibroids lead to complications in pregnancy including pain,intrauterine growth restriction,morbidly adherent placentation,placental abruption,dystocia,and postpartum hemorrhage.1 Pain is the most common complication of fibroids during pregnancy.2 Causes of pain include increased pressure on the fibroid itself,torsion of a pedunculated fibroid,and degeneration due to rapid fibroid growth.2 Pain can first be managed conservatively with rest,hydration,and analgesics;however,if pain is refractory to conservative management,surgical management with myomectomy may be indicated.3 Spyropoulou K et al.4 performed a review of the literature regarding myomectomy in pregnancy.This review found that majority of myomectomies in pregnancy were performed via laparotomy with overall favorable pregnancy outcomes and few complications,concluding that myomectomy in pregnancy is safe in cases not responding to conservative management.展开更多
文摘The prevalence of fibroids in pregnancy ranges from 2%to 10%.About 10%of these fibroids lead to complications in pregnancy including pain,intrauterine growth restriction,morbidly adherent placentation,placental abruption,dystocia,and postpartum hemorrhage.1 Pain is the most common complication of fibroids during pregnancy.2 Causes of pain include increased pressure on the fibroid itself,torsion of a pedunculated fibroid,and degeneration due to rapid fibroid growth.2 Pain can first be managed conservatively with rest,hydration,and analgesics;however,if pain is refractory to conservative management,surgical management with myomectomy may be indicated.3 Spyropoulou K et al.4 performed a review of the literature regarding myomectomy in pregnancy.This review found that majority of myomectomies in pregnancy were performed via laparotomy with overall favorable pregnancy outcomes and few complications,concluding that myomectomy in pregnancy is safe in cases not responding to conservative management.
