What should I do if I find uterine fibroids during pregnancy? How should I treat uterine fibroids during pregnancy?

Uterine fibroids do not increase the risk of premature birth

Although the chance of encountering uterine fibroids during pregnancy is not small, serious complications are rare (less than 1%). Uterine fibroids will change as pregnancy progresses. Some fibroids will change location, and some will increase in size. Some fibroids are "reddened degeneration" caused by tissue congestion and embolism after pregnancy, leading to abdominal pain and uterine contractions. However, clinical observations and most statistical data confirm that uterine fibroids do not increase the possibility of premature birth.

It may be that the fetus is in an abnormal position, and the probability of caesarean section increases. There are rarely serious complications that need to be paid attention to!

However, it is undeniable that some larger fibroids affect the turning of the fetus, resulting in incorrect fetal position; some lower fibroids block the fetal channel and increase the possibility of cesarean section. Only in a few cases, such as pedicled serosal fibroid torsion necrosis, immediate surgery is required; or mucosal fibroids cause prenatal bleeding and placental detachment; or fibroids affect postpartum uterine contraction, resulting in postpartum hemorrhage. Gynecologists must pay attention to these serious complications!

Most pregnant women with uterine fibroids can give birth smoothly

However, the authors still need to emphasize that the incidence of serious complications is very low, so most of the time, uterine fibroids accompany pregnant women until delivery without causing major impact. If pregnant women have serious complications during pregnancy, such as premature delivery, obstructed labor, or postpartum hemorrhage, myomectomy can be considered before the next pregnancy.

It is not suitable to remove uterine fibroids at the time of delivery!

As for the idea that some pregnant women can treat uterine fibroids during cesarean section, this is a very dangerous idea! Due to the increased congestion of the uterus and the increased blood flow around it during pregnancy, it is not suitable for treating uterine fibroids; cesarean section to remove uterine fibroids can easily cause complications such as heavy bleeding and poor uterine contraction, and general obstetricians and gynecologists will not make such suggestions.