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Successful pregnancies with uterine leiomyomas and myomectomy at the time of caesarean section
  1. Yu-Lan Mu1,
  2. Shan Wang1,
  3. Jing Hao2,
  4. Min Shi1,
  5. Frank D Yelian3,
  6. Xie-Tong Wang1
  1. 1Department of Obstetrics and Gynecology, Provincial Hospital Affiliated to Shandong University, Jinan, China
  2. 2Department of Histology and Embryology, Medical College of Shandong University, Jinan, China
  3. 3Department of Obstetrics and Gynecology, Wayne State University School of Medicine, Detroit, Michigan, USA
  1. Correspondence to Xie-Tong Wang, Department of Obstetrics and Gynecology, Provincial Hospital Affiliated to Shandong University, Jingwu weiqi road No.324, Jinan, Shandong 250021, China; wxt65{at}vip.163.com

Abstract

Objective To ascertain the impact of uterine leiomyomas on pregnancy outcome, and to determine the effectiveness of myomectomy at the time of caesarean delivery.

Methods A retrospective study was conducted on pregnant women with uterine leiomyomas. Clinical information including the course of the pregnancy, mode of delivery, pathology findings, and postpartum course were extracted from medical records and analysed for statistical significance.

Results There were 50 pregnancies associated with uterine leiomyomas. During pregnancy, the leiomyomas grew >2 cm in 46% of cases. Only 6% were affected by symptoms of red degeneration. There were 2% mid trimester inductions of labour, 6% vaginal deliveries, and 92% caesarean sections. Of the 46 caesarean sections, 47% were due to obstetrical factors and 89% of patients underwent myomectomy at the time of caesarean delivery. The mean blood loss from myomectomy at the time of caesarean section was 260 ml (200–700 ml), and 5% of patients who underwent myomectomy were transfused.

Conclusions It is possible to carry a pregnancy successfully to term when the pregnancy is complicated by uterine leiomyomas. When caesarean delivery is needed, myomectomy can be performed at the time of caesarean section routinely without significant complications.

  • Pregnancy
  • uterine leiomyomas
  • myomectomy
  • caesarean section
  • obstetrics
  • gynaecological oncology

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Footnotes

  • Y-LM and SW are co-first authors.

  • Funding This work was supported by the Science and Technology Development Planning of Shandong Province (2004GG3202025) to Dr Xie-Tong Wang, the National Natural Science Foundation of China (30871405/C061001) to Dr Jing Hao, and the Natural Science Foundation of Shandong Province (ZR2009CQ005) to Dr Shan Wang.

  • Competing interests None.

  • Patient consent Obtained.

  • Provenance and peer review Not commissioned; externally peer reviewed.

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