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Uterine fibroids during pregnancy are a matter of concern to many women because of the risk of adverse effects on the pregnancy, including miscarriage, preterm delivery, torsion of the fibrocartilage, placenta previa, and contractions disorder. labor.1. Fibroids and pregnancy
Uterine fibroids during pregnancy are a condition that occurs in many women, the disease directly affects the health of the fetus and pregnant mother. Fibroids form from the tissues and muscle fibers of the uterus, they are caused by growth under the influence of estrogen and are quite benign.
This is a common disease, causing many difficulties for women of reproductive age, which are mainly women who have been pregnant once. Uterine fibroids are not difficult to treat if detected early, but it is necessary to find out the exact cause of uterine fibroids. If left for a long time and not properly treated, the tumor will grow large and press on other organs. Uterine fibroids and pregnancy can lead to many dangerous complications, even death.
2. Effect of pregnancy on uterine fibroids
During pregnancy, the hormone estrogen will increase. This has an effect on the fibroids, changing the size and density of the fibroids:
The fibroids will become softer. Therefore, the tumor will less obstruct the baby's way out during the mother's labor because then the fibroid is easily flattened, in case the tumor is located at a low position; Tumor size is often enlarged due to proliferation of muscle fibers, including muscle tissue cells in the uterine wall. This also explains why in many cases fibroids can only be detected during pregnancy. After the postpartum period, fibroids will shrink back to their original size; When having uterine fibroids during pregnancy, the pedicle under the peritoneum can be filled up to the abdomen or into the pocket with Douglas, easily twisted or stuck here.
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3. The risk occurs when uterine fibroids are large and pregnant
3.1. During pregnancy Early miscarriage: When the fibroid mass has not occupied the entire uterine cavity, the embryo is still in the implantation and development stage for a while. As the fetus grows, the uterus is stimulated by uterine fibroids and pregnancy, contractions occur, leading to the expulsion of the fetus. Early miscarriage usually occurs in the first 3 months of pregnancy; Late miscarriage: The fibroid mass occupies only a part of the uterine cavity, when the fetus is large enough, it will cause irritation and be pushed out. Late miscarriage usually occurs in the second trimester; Premature birth: Usually occurs when gestational age is 7 months or more. At this time, the fetus has grown too large, the uterus is stretched, causing irritation, leading to premature birth. There are also times when uterine fibroids are large during pregnancy and press on the mother's uterus, causing miscarriage or premature birth; Torsion of the fibrous stalk: Common in cases of subperitoneal fibroids. Symptoms of pedicle torsion are similar to those of an ovarian cyst and are often misdiagnosed. Consequences of torsion of the fibrous stalk stimulate uterine contractions. In many cases, emergency surgery for pregnant women is required because it can cause miscarriage or premature birth.
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3.2. During labor Contraction disorder during labor: This condition is caused by the fibrous nuclei growing large, blocking the conduction of contractions, causing the contractions to reverse, resulting in labor. prolonged, easy to lead to fetal failure; Tumors of the prostate: There are small fibroids, located in the waist of the uterus, or fibroids with long stalks, which have grown to large, falling down to the isthmus of the uterus to form a prostate tumor. They interfere with the normal progression of the fetal position, leading to difficult delivery; Obstruction of placental abruption due to contraction disorder: Uterine fibroids and pregnancy cause incomplete placental abruption, causing retained placenta; Contraction disorder, uterine contraction is not good, leading to uterine atony, causing bleeding during the period of placental abruption; Infectious necrosis: Usually occurs in the postpartum period for submucosal fibrous nodules. In the postpartum period, often uterine fibroids will shrink, the risk of complications is not high. However, some special cases require special monitoring because of the risk of infectious complications, especially with submucosal fibroids. In the case of fibrous tumors with stalks, it is easy to lead to torsion complications by sudden emptying of the abdomen. Fibroids rarely lead to thromboembolic complications.
4. Treatment of uterine fibroids during pregnancy
Women with uterine fibroids during pregnancy, the only thing that can be done is to pay close attention. Periodic check-ups as advised by your doctor. Follow your doctor's instructions. In addition, pregnant women should spend more time resting to maintain health. If there are any abnormal signs, contact your doctor or go to the hospital as soon as possible. Absolutely do not use any other medication or support products without the consent of the doctor.
Uterine fibroids during pregnancy are not uncommon, so women need to equip themselves with the necessary knowledge to be ready to face and handle this disease if it happens unfortunately.
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