Impaired delivery outcomes in pregnancies following myomectomy compared to myoma-complicated pregnancies.
J Reprod Med
; 56(3-4): 142-8, 2011.
Article
em En
| MEDLINE
| ID: mdl-21542532
ABSTRACT
OBJECTIVE:
To compare obstetric and delivery outcomes between myoma-complicated pregnancies and pregnancies that follow myomectomy. STUDYDESIGN:
Among the 7,589 deliveries performed in the Department of Obstetrics and Gynecology of the Osaka University Hospital, Osaka, Japan, from 1994 to 2007, women with a past history of myomectomy and those with myoma during their pregnancy were enrolled in this study. Their clinical records were reviewed retrospectively.RESULTS:
The frequency of myomas detected during pregnancy significantly increased by 1.8-fold during the first 7-year period as compared with the latter 7-year period of the study (p < 0.001). The obstetric and delivery outcomes, including the rate of cesarean section, the rate of preterm delivery and the amount of blood loss at delivery, were better in pregnancies complicated with current myoma than those in pregnancies which had undergone previous myomectomy (p < 0.001, p = 0.002 and p = 0.005, respectively), with the exception of an increased need for analgesic medication.CONCLUSION:
Myomectomy of large asymptomatic myomas does not improve future obstetric and delivery outcomes, indicating that most asymptomatic myomas should be managed conservatively in women still considering childbearing.
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Coleções:
01-internacional
Base de dados:
MEDLINE
Assunto principal:
Complicações Neoplásicas na Gravidez
/
Neoplasias Uterinas
/
Resultado da Gravidez
/
Complicações do Trabalho de Parto
/
Leiomioma
Tipo de estudo:
Observational_studies
/
Risk_factors_studies
Limite:
Adult
/
Female
/
Humans
/
Pregnancy
Idioma:
En
Revista:
J Reprod Med
Ano de publicação:
2011
Tipo de documento:
Article
País de afiliação:
Japão