Outcome of pregnancy in fibromyoma: An observational study
Gargi Sharma, KK Das, AK Bhattacharyya
Objective: The aim our study is to follow up singleton pregnancies with fibromyoma and look for complications and factors responsible for adverse pregnancy outcomes. Methodology: An observational study was performed on 100 women with singleton pregnancies attending the Antenatal Out Patient Department (ANOPD) of Gauhati Medical College Hospital (GMCH) diagnosed with uterine fibromyoma over a period of one year. The patients were followed up for various pregnancy outcomes. Results: Most of the patients were of the age group 26-30 years (46%) and 62% patients were primigravida. 36% patients had normal vaginal delivery and 56% underwent lower segment caesarian section (LSCS). Submucous fibromyoma were found to be associated with spontaneous abortion (8%, p=0.0001). Malpresentation (14%, p=0.0345), preterm delivery (20%, p=0.0051) and premature rupture of membrane (PROM)/ preterm premature rupture of membrane (PPROM) (14%, p=0.0345) were found to be significantly associated with large fibromyoma. Postpartum hemorrhage (PPH) was found to be associated with multiple fibromyoma (8%. p= 0.0213). Perinatal mortality rate was 32.96 per 1000 live births. Conclusion: Patients and health care providers both should be made aware of the association of fibromyoma with adverse pregnancy outcomes like spontaneous abortion, bleeding complications and preterm labour. Elective caesarean section is not necessary unless there is clear obstetrical indication for the same. Neonatal outcomes are not disappointing from our study.