Abnormal uterine growths are normally discovered during pregnancy, but experts say these growing masses in the uterine do not complicate pregnancy. However, they should be monitored across the pregnancy period. If they grow to uncomfortable sizes or if a patient experiences pain, the doctor may prescribe removal of these unwanted masses. Studies about the relationship of fibroid and pregnancy are underway to give a full understanding of the causes of fibroids among pregnant women.
Fibroid and Pregnancy: A Quick Backgrounder
Fibroids are not rare and they are very common among women who are aged 35 or more. But even if you are younger than this age, it is not impossible for you to have a diagnosis of fibroids. The possibility is even higher if you belong to the African-American community or your family has a history of fibroids.
Pregnancy hormones are most likely the reason for fibroids. During pregnancy, there are special hormones that work to make the uterus larger for the growing fetus. However, that same hormonal activity may also cause small masses of fibroids already existing together with the uterus to enlarge. According to experts, fibroid growth usually starts at the early days of pregnancy.
Fibroid and Pregnancy Complications
In most fibroid cases, pregnancy or the delivery of baby is not affected. However, it is still important for you to know the possible complications:
• Pain – Pain may be experienced at any time during pregnancy. If fibroids outgrow their blood supply, they may undergo “white” or “red” degeneration. White degeneration means that the fibroids are “bleeding into themselves” while red degeneration means that parts of the fibroids are undergoing cell death and are becoming liquid or they become cystic.
• Either of these consequences may cause abdominal and/or pelvic pain. Oral pain medicines are usually prescribed to ease the pain, but if the pain gets severe, the patient may be required to undergo hospitalization or surgical removal of fibroids.Early Pregnancy Complications – Fibroids may cause miscarriage or bleeding during the early part of the pregnancy. The type of fibroids that usually causes miscarriage is submucosal, which means that the abnormal growth is encroaching into the cavity of the uterus. This unwanted presence can prevent normal implantation of the fetus or disrupt the growth of the placenta.
• Late Pregnancy Complications – Three dire things can happen during late pregnancy – restricted fetal growth, placental abruption and premature labor. If there are many fibroids or there is a very large fibroid inside, there is a greater preterm labor risk. Placental abruption can happen if the growing mass is located in the placental area. Although studies suggest that there are no restrictions in terms of fetal growth, by the scientific understanding of space, it is still possible that fetal growth is affected.
• Delivery Complications – Misplaced fibroids may cause wrong positioning of the baby. They can make the baby go to a transverse position or a breeching position. If either of these is the case, the patient may be forced to have caesarian delivery. Even if the baby is in the normal position, a C-section may be called for. There are cases when fibroids can block the baby’s descent and inhibit the progress of labor.
Fibroid and Pregnancy: Myomectomy
If the doctor sees that you have fibroids and the size is still small for alarm, he will just monitor your condition and just have a “let’s see” attitude. But it’s a different case if you are already experiencing pain or the fibroids are growing rapidly.
You may be advised to have bed rest or take oral medications. If the pain gets unbearable, your doctor may be forced to remove the fibroids through a fibroid-and-pregnancy medical procedure called Myomectomy. Fibroid removal operations may be advised and done even during one’s pregnancy.
You are Pregnant and Have Fibroids - Is It Bad
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