The Experience of the Management of Pregnancy with Large Uterine Fibroids
https://doi.org/10.51523/2708-6011.2019-16-4-15
Abstract
The article presents a case of the successful management of pregnancy in a woman with large uterine fibroids and describes the main stages of the medical examination of the pregnant woman, planned hospitalizations, performed treatment, and features of the delivery.
About the Authors
N. L. Gromyko
Gomel State Medical University
Belarus
Belarus
Gromyko N.L., PhD, assistant of the Department of Obstetrics and Gynecology with the course of the Faculty of Professional Development and Retraining of the educational institution «Gomel State Medical University».
T. N. Zakharenkova
Gomel State Medical University
Belarus
Belarus
Zaharenkova T.N., PhD, Associate Professor, Head of the Department of Obstetrics and Gynecology with the course of the Faculty of Professional Development and Retraining of the educational institution «Gomel State Medical University».
Yu. A. Lyzikova
Gomel State Medical University
Belarus
Belarus
Lyzikova Yu.A., PhD, Associate Professor, Associate Professor of the Department of Obstetrics and Gynecology with the course of the Faculty of Professional Development and Retraining of the educational institution «Gomel State Medical University».
G. N. Gerasimenko
Gomel Central City Out-Patient Clinic,Branch No.11
Belarus
Belarus
Gerasimenko G.N., Head of the Maternity Center of Branch No.11 of the public health institution «Gomel Central City Out-Patient Clinic».
References
1. Fuchs A, Dulska A, Sikora J, et al. Symptomatic uterine fibroids in pregnancy - wait or operate? Own experience. Ginekol Pol. 2019;90(6):320-24. doi: 10.5603/GP.2019.0058.
2. Delli Carpini G, Morini S, Papiccio M, et al. The association between childbirth, breastfeeding, and uterine fibroids: an observational study. Sci Rep. 2019;9(1):10117. doi: 10.1038/s41598-019-46513-0.
3. Parazzini F, Tozzi L, Bianchi S. Pregnancy outcome and uterine fibroids. Best Pract Res Clin Obstet Gynaecol. 2016;34:74-84. doi:10.1016/j.bpobgyn.2015.11.017.
4. Milazzo GN, Catalano A, Badia V, et al. Myoma and myomectomy: Poor evidence concern in pregnancy. J Obstet Gynaecol Res. 2017;43(12):1789-1804. doi: 10.1111/jog.13437.
5. Hammoud AO, Asaad R, Berman J, et al. Volume change of uterine myomas during pregnancy: do myomas really grow? J Minim Invasive Gynecol. 2006;13(5):386-90.
6. Sarais V, Cermisoni GC, Schimberni M, et al. Human Chorionic Gonadotrophin as a Possible Mediator of Leiomyoma Growth during Pregnancy: Molecular Mechanisms. Int J Mol Sci. 2017;18(9). pii: E2014. doi: 10.3390/ijms18092014.
7. Giovanni C, Stefano M, Maria P, et al. The association between childbirth, breastfeeding, and uterine fibroids: an observational study. Sci Rep. 2019;9:10117. doi: 10.1038/s41598-019-46513-0.
8. Kim M. Spontaneous complete regression of large uterine fibroid after the second vaginal delivery: Case report. Medicine (Baltimore). 2018;97(45):e13092. doi: 10.1097/MD.0000000000013092.
9. Lu-Jing Li, Xuan-Kun Liang, Xian-Xiang Wang, et al. Disappearance of the blood supply to a giant uterine myoma due to childbirth. Medicine (Baltimore). 2019;98(28):e16056. doi: 10.1097/MD.0000000000016056.
10. Kim HS, Oh SY, Choi SJ, et al. Uterine rupture in pregnancies following myomectomy: A multicenter case series. Obstet Gynecol Sci. 2016;59(6):454-62.
11. Буянова СН, Гукасян СА, Юдина НВ. Миомэктомия во время беременности: показания и особенности хирургической тактики и анестезии, предоперационная подготовка и реабилитация. РМЖ Мать и Дитя. 2014;19:14-28.
12. Pergialiotis V, Sinanidis I, Louloudis IE. Perioperative Complications of Cesarean Delivery Myomectomy: A Meta-analysis. Obstet Gynecol. 2017 Dec;130(6):1295-1303. doi: 10.1097/AOG.0000000000002342.
13. O' Sullivan R, Abder R. Myomectomy at the time of cesarean delivery. Ir J Med Sci. 2016;185(4):973-75.
14. Zhao R, Wang X, Zou L, Zhang W. Outcomes of Myomectomy at the Time of Cesarean Section among Pregnant Women with Uterine Fibroids: A Retrospective Cohort Study. Biomed Res Int. 2019 Mar 10;2019:7576934. doi: 10.1155/2019/7576934.
Review
For citations:
Gromyko N.L., Zakharenkova T.N., Lyzikova Yu.A., Gerasimenko G.N. The Experience of the Management of Pregnancy with Large Uterine Fibroids. Health and Ecology Issues. 2019;(4):75-78. (In Russ.) https://doi.org/10.51523/2708-6011.2019-16-4-15
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