Pregnancy with Fibroids : A real Challenge Dr.Anushree Rawat

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Fibroids are tumors that grow from muscle tissue in the uterus. They are not cancerous. They can be as small as a pea or larger than a grapefruit.

There are three main types of fibroids based on where they are found:

• Subserosal are in the outer wall of the uterus (55%)

• Intramural are found in the muscular layers of the uterine wall (40%)

• Submucosal protrude into the uterine cavity (5%)

An estimated 40% to 60% of women have fibroids by age 35 and 80%  have them by age 50. 

Dr. Anushree Rawat shares her experience as most women who have been diagnosed with fibroids go on to have normal pregnancies, but sometimes they can cause challenges.

The primary problems encountered by woman during 1st trimester of pregnancy with fibroids are:

• Bleeding and pain. Patients experience both bleeding and pain during their first trimester.

• Miscarriage. Women with fibroids are much more likely to have abortion during early pregnancy. It is seen the big or more are the fibroids ,chance of abortion is high.

Second and Third Trimesters

As your uterus expands to make room for the baby, it can push against the fibroids. This can cause a number of symptoms like

• Pain. This is the most common symptom of fibroids. At times, fibroids twist, which can cause cramping and discomfort. Other times, the fibroid can undergo red degeneration which causes severe stomach pains.

• Placental abruption. Ongoing studies seem to show that pregnant women with fibroids have a much greater chance of placental abruption than women without fibroids. That means placenta tears away from the wall of the uterus before the baby is delivered. It’s very serious because the baby won’t get enough oxygen and you can have heavy bleeding. The pregnant mother could go into shock.

• Preterm delivery. Pregnant females with  fibroids, are more likely to deliver preterm — before 37 weeks of pregnancy — than women without fibroids.

During Delivery

Many studies show that women who have fibroids are six times more likely than other women to need a C-section.. That could be because the fibroids can keep the uterus from contracting and they can also block your birth canal, slowing down the progress of your labor.

Many pregnant females have breech delivery which is another potential problem and have to undergo C- section.

After Delivery

Fibroids often shrink after pregnancy. In one study, researchers found that, 3 to 6 months after delivery, 70% of women who had live births saw their fibroids shrink more than 50%.

Treatment is decided on a case-by-case basis says Dr.Anushree Rawat , Director of Agra Woman Wellness Center. It is based on the symptoms of fibroids and may improve overall fertility.

How and whether you treat your fibroids depends onthe severity of your symptoms and your female doctor’s recommendations.

About the author

Dr.Anushree Rawat is a well renowned  Obstetrician and Gynaecologist in Agra,uttar pradesh,Dr Anushree Rawat is the Director and Chief Obsterician and Gyanaecologist of Agra Woman Wellness Center which caters all female related problems head to toe.

PCOD,Pregnancy,PCOS,uterine fibroids, menstrual problems,breast disease,menstrual problem,white discharge,urinary tract infection,infertility,Painless normal delivery, C -section,high risk pregnancy, ectopic pregnancy.

Dr Anushree Rawat has done more than 5000 normal delievery and has performed over 3000 hysterectomy.She is a gold medalist and has special interest in High risk obstetrics and Urogynaecology.



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