To Evaluate the Maternal and Fetal Outcome in Women having Pregnancy with Fibroids
Objective: To evaluate the maternal and fetal outcome in women having a pregnancy with fibroids.
Methodology: This prospective/descriptive study was conducted in the department of obstetrics and gynaecology of Abbas Institute of Medical Sciences Teaching Hospital of Azad Jammu Kashmir Medical college, Muzaffarabad, Azad Kashmir from December 2016 to June 2018. Non-probability purposive sampling was done. All detailed data such as demographic data, mode of delivery, obstetrical history, maternal complications, and fetal outcome was collected on pre-designed proforma. Mean and standard deviation were collected for age, period of gestation. Data was analyzed on the computer program SPSS17. Ethical approval for this article has been obtained from hospital ethical committee.
Results: Eighty patients were included in this study who had pregnancy with fibroid. Vaginal deliveries were achieved in 36 (45%) patients. Twenty three (29%) out of 80 patient had caesarean section and 21 (26%) patients had a miscarriage, while 14 (18%) had antepartum and 21 (26%) had postpartum hemorrhage. Ultrasonography was done for the confirmation of fibroid, its size and position were measured and recorded in predesigned proforma. Results of ultrasound showed that 35 patients had submucosal, 45 patients had multiple and large fibroids.34 (43%) patients delivered healthy babies, 21 (26%) had miscarriage, 18 (23%) babies were admitted to neonatal intensive care unit but discharged satisfactory later on. There were 4 (5%) intrauterine deaths and 3 (4%) early neonatal death.
Conclusions: Miscarriage and postpartum haemorrhage were common in patients having preganacy with fibroid.
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