This study enrolled 100 pregnant women diagnosed with uterine fibroids, spanning the ages of 20-40, a representative age range for expectant mothers. The average gestational age at enrollment was 15 weeks, with a slight deviation of 2.5 weeks, which could influence obstetric outcomes. Uterine fibroids were categorized based on their localization: subserosal (45%), intramural (35%) and submucosal (20%). The study aimed to assess the impact of fibroid localization on obstetric outcomes. Preterm Birth: The incidence of preterm birth increased progressively with fibroid localization: subserosal (25%), intramural (30%) and submucosal (40%). Low birth weight: A similar trend emerged for low birth weight incidence, with submucosal fibroids exhibiting the highest rate (35%). Cesarean section rate: Cesarean section rates varied: Subserosal (60%), intramural (65%) and submucosal (75%). This study demonstrates that uterine fibroid localization plays a significant role in obstetric outcomes. Submucosal fibroids were associated with the highest incidence of preterm birth, low birth weight and cesarean section, suggesting that clinicians should consider fibroid location when managing pregnancies in women with uterine fibroids. Understanding these associations can lead to improved prenatal care and informed decision-making regarding delivery methods for this patient population.
Gunda Madhavi, A. Niranjani Devi and T. Prasuna. An Observational Analysis of Uterine Fibroid Localization and Its Association with Obstetric Outcomes in Pregnant Women.
DOI: https://doi.org/10.36478/10.59218/makrjms.2023.9.43.47
URL: https://www.makhillpublications.co/view-article/1815-9346/10.59218/makrjms.2023.9.43.47