Uterine fibroids and pregnancy - is now quite common. Pregnancy in women with small uterine fibroids usually proceeds without complications. However, it is also possible for infertility, recurrent miscarriage appearance, premature labor Premature birth - Recognize the signals of the body in time . Circulatory disorders in the placenta, and iron deficiency anemia in the mother can lead to various disorders in the development of the fetus, including serious violations of the central nervous system.

Uterine fibroids and pregnancy - how often such a situation arises

The number of such cases is growing steadily. This is due, firstly, to the fact that the age of the pregnant (including the first) female increases. Today nulliparous women after thirty years is not something special, more and more women began to give birth after forty years. It was at this time begins to manifest itself fibroids.

The second reason for the growth detect fibroids during pregnancy is a thorough examination of pregnant women, including the use of ultrasonic methods. It can detect even small fibroids sizes located in the middle muscular layer of the uterus (interstitial fibroids).

The increased incidence ensures that carefully studied all the stages of pregnancy in women with uterine fibroids and developed a technique of medical conservative and, if necessary, operational assistance to such women.

Can develop infertility with uterine

Infertility in women with uterine fibroids is rare - only in cases when myoma node compresses the fallopian tube and prevents it sperm to fertilize an egg. When a large fibroid can also be squeezed and other parts of the uterine cavity, slowing or completely blocking the movement of sperm.

The cause of infertility can be both hormonal disorders Hormonal disorders: causes and the most frequent disease   (increased secretion of female sex hormones estrogen), against which is formed by uterine fibroids. They can lead to ovulation disorders.

The pregnancy - first trimester of danger

In the first trimester (the first twelve weeks) is a very real threat of miscarriage is usually associated with insufficient progesterone - the female sex hormone inhibits smooth muscle of the uterus.

When uterine cancer risk of miscarriage may increase significantly, due to the fact that the destruction of the muscle fibers of the tumor (they are constantly exposed to necrosis due to circulatory disorders) are released biologically active substances that stimulate uterine contractions. Furthermore, the amount of progesterone with uterine fibroids can be reduced because of the large amount of estrogen, which will also lead to increased contraction of smooth muscle of the uterus.

But if a woman is properly observed in the women's clinic, abortion threat will be revealed in due time. To correct such violations are usually prescribed a course of treatment with synthetic analogues of progesterone. But large amounts of progesterone can create the risk of degeneration of the fibroid - this is very dangerous, because the death of her tissues can lead to severe complications.

What dangers can trap a woman in the second and third trimesters of pregnancy

Second trimester (thirteenth to twenty-fourth week) - this is a relatively quiet period: the threat of miscarriage often passes, but the fruit is still small and had enough room in the uterus. But in this period the placenta. If the placenta is located over the myoma node, it creates a threat to circulatory disorders in placenta abruption it or, conversely, is too firmly attached to the uterine wall (this creates the risk of bleeding during childbirth).

In the third trimester to the fore the threat of impaired circulation in the placenta and the fetus insufficient blood supply. This may contribute to the development of fetoplacental insufficiency: the fetus will receive less oxygen and nutrients, leading to a violation of his physical (stunting and weight) and neuropsychological development (due to metabolic disorders in the brain tissue).

In addition, when a large uterine fibroids, located directly under the mucosa (submucosal fibroids) will take the fruit of a forced position (for example, cross), which can be an obstacle for the conduct of normal childbirth. The same reason can cause premature labor.

The birth in women with uterine fibroids

Small and medium-sized uterine fibroids usually are not an obstacle for delivery. But if the fibroid is located in the area of ​​the cervix, the delivery is usually carried out by Caesarean section because the birth canal can not fully disclosed.

For large uterine fibroids or placental location in close proximity there is a risk of uterine bleeding during childbirth.

Despite these dangers, pregnancy and childbirth in the uterine myoma Uterine fibroids - without symptoms, but with big problems   in most cases proceed safely. But this happens only when the woman is under the constant supervision of an obstetrician-gynecologist.

Galina Romanenko

Related Articles

Cervicitis - the effect of infectious agents on the state of the cervix

The tone of the uterus - the most important indicator for pregnant women

Omission of the uterus: how to define and how to deal

Uterine fibroids - without symptoms, but with big problems