Management Outcome of Uterine Fibroids in Pregnancy in a Secondary Health Facility in Calabar, South-South Nigeria

Abstract

Uterine fibroid is the commonest benign tumors of the uterus and may lead to several complications in pregnancy. The objective was to determine the maternal and foetal outcome of fibroids in pregnancy. This prospective study was conducted in Nigerian Navy Hospital, Calabar over 2 year among women with fibroids in pregnancy. Result showed that a total of 889 women booked for antenatal care during the period, of which 72 had fibroids in pregnancy giving the incidence of 8.1%. Majority of the women were within the age group of 30-39 years 39(54.2%) and nulliparae 32(44.4%). A total of 3(4.2%) had 1st trimester miscarriages, 4(5.2%) had preterm delivery, 22(30.6%) had spontaneous normal vaginal delivery at term while 37(51:3%) had caesarean section. In conclusion, uterine fibroid is a common finding in pregnancy and the manifestation varies depending on their size and site. Pregnancies with uterine fibroid are high risks and are commonly associated with complications such as caesarean sections, primary post partum haemorrhage, miscarriage and preterm labour.

Keywords: Calabar, Uterine fibroids, caesarean section, miscarriage, pregnancy


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