UTERINE FIBROIDS AND PREGNANCY. PREGNANCY COMPLICATIONS AND OUTCOMES

Abstract

Aim. To determine the incidence of fibroids in pregnant women and assess the potential impact of fibroids on pregnancy outcomes. Methods. A retrospective analysis of cases of pregnant women with uterine fibroids at Hospital of Lithuanian University of Health Sciences Kauno klinikos from 2020 to 2022 was performed. The study group consisted of 120 cases. Results. Pregnant women with uterine fibroids accounted for 2.11% of the total number of births in the Lithuanian University of Health Sciences Hospital, Kaunas Clinics

of Obstetrics and Gynaecology in 2020–2022. The average age of women was 34.14 ± 4.76 years. 18.3% of women were hospitalised during pregnancy. Women with more than one fibroid were more often hospitalised (p = 0.049). Women with more than one fibroid were more likely to require hospitalisation for threatened preterm birth (p = 0.031). The mean duration of pregnancy for women with more than one uterine fibroid was 36.7 w., which was statistically significantly shorter than the mean duration of pregnancy for women with a single fibroid being 38.5 w. 48.7% of the patients had caesarean delivery and was most common in the age group 30–34 years. The most common indication for caesarean section was dystocia (34.5%). The mean APGAR score after 1 min was 8.66 ± 1.56 and after 5 min was 9.346 ± 0.85. Conclusions. Multiple fibroids are associated with an increased risk of preterm birth. Compared to the general population, women diagnosed with fibroids are more likely to undergo a caesarean section. The fibroids had no effect on the newborn’s condition.