Clinical Analysis Of128Cases Of Pregnancy Complicated With Uterine Myoma

Objective:To investigate the influence of uterine myoma on pregnancy, delivery, puerperium, and perinatal children, and the safety and feasibility of myomectomy in pregnant women with uterine myoma during cesarean sections.Methods:128cases of pregnant women with myomas who had delivered single live newborns were chosen as case group, and136pregnant women that had no uterine myoma at the same time were randomly chosen to be the control group. All of the cases were from the department of Gynecology and Obstetrics in the Second Hospital of Shanxi Medical University. By comparing the two groups’condition of pregnancy, delivery and puerperium and perinatal children, we explored the influence of uterine myoma in mother and infant. We searched the safety and feasibility by analyzing condition during and after the operations of the95cases of pregnant women with uterine myomas that had delivered cesarean sections. And the cases of pregnancy with uterine myoma was divided into and compared by different groups according to the number, the position, and the diameters of myoma to search whether different myomas have different effects on pregnancy or not.Results:1. Compared with the control group, there’s higher incidence rate of threatened abortion, threatened premature labor, abnormal presentation, placenta previa, premature rupture of membrane, fetal distress, cesarean section rate, postpartum hemorrhage, puerperal morbidity, low birth weight infant, neonatal asphyxia and there’s no obvious difference in complications in oligohydramnios. placental abruption, cord around neck, macrosomia, fatal malformation between the two groups. Women with uterine myomas who delivered vaginally had longer stage of labor. larger amount of bloodshed while labor and postpartum and more hospitalization days after labor than women without myomas. Women with uterine myomas who had cesarean sections had larger amount of bleeding during and after the surgery, longer stay after the operation.2. Cesarean section with myomectomy increases the duration of operation. bleeding amount and postoperative hospital stay.3. More complications had happened among women that had multiple, larger and specially located myomas. Conclusion:1. Uterine myoma could increase the rate of complications of pregnancy, delivery, postpartum, and perinatal fetus.2. Uterine myoma could increase the rate of cesarean section, and we can properly broadened the cesarean section among the pregnant women with uterine myoma.3. For uterine myoma patients, myomectomy should not be conventionally practiced during cesarean section, and when doctors prepare to apply myomectomy during cesarean section, evaluating patient’s tolerance of operation and weighting the advantage and disadvantage should be done before the operation.4. For women, whose uterine myomas are large(≥5cm), multiple, specially located or whose myomas have ever resulted in abnormal pregnancy history, the safety of pregnancy should be estimated before conception, and myomectomy before conception should be considered if necessary.