Research The Influences And Treatments Between Myoma Of Uterus And Pregnancy

Objective: The study is to investigate the influences between myoma of uterusand women who is in pregnant,and to explore how to treat with myomas in thepeople who is going to pregnant,in different pregnant periods and childbirth.Methods: We collect644cases of pregnant women with uterine myomas in thedepartment of obstetrics and gynecology in general hospital of Ningxia medicaluniversity between January2003and December2012, based on their causes ofhospitalization and pregnancy outcome to divided into six categories, to explorehow to treat with myomas, and the relationship between the size and parts ofthe myomas and period of pregnancy and childbirth complications. And to findthe optimal treatment of myomas during cesarean section after to compared withthe patients who did not have uterine myomas and be in the same hospital in thesame period.Results:1.Of all the644cases of pregnant women with uterine myomas,26cases byspontaneous delivery,588cases terminate pregnancies by cesarean section,15cases embryos stop growing or spontaneous abortion (inside6cases arespontaneous abortion),4cases have symptomatic red degeneration during thegestational period,3cases is because of threatened abortion admitted thetocolytic therapy.2.Except for abnormal fetal position，there is no obvious difference between the searched object and the normal rate in complications in pregnancy,labor and delivery(including abortion, premature delivery, premature ruptureof membranes, placenta previa, postpartum hemorrhage and macrosomia), and therate of complications of the patients with submucosal myoma or mixed type ishigher than the patients with the other types of fibroids.3.Amony all of the588cases of cesarean section pregnancy complicated withuterine myomas,296cases have degeneration, accounting for51.12%, mainly forthe red degeneration. Only4cases of all the644patients have symptoms andhave hospital treatment,3of them is cured by tocolytic treatment and the otherone is cured by myomectomy, and then discharge to continue pregnancy.4.Compared with the patients without uterine myomas, the rate of cesareansection is obviously elevated, but the amount of bleeding during operation andpostoperative hospitalization time has no obvious difference.Conclusions:1.The patients with myoma who is planning to have a baby can try to be pregant.2.Except for abnormal fetal position，there is no obvious difference betweenthe searched object and the normal rate in complications in pregnancy, laborand delivery. And there is some relationship between the position and the sizeof the myoma and complications, but fibroids number has little influence on it.3.A lot of leiomyomas will appear red degeneration, but most of themhave no obvious clinical symptoms, most of the patients with clinical symptomcan continue to pregnancy after having theconservative treatment or operation.4.Compared with the patients without uterine myomas, the rate ofcesarean section is obviously elevated, but the amount of bleeding during operation and postoperative hospitalization time has no obvious difference.