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| Analysis of the delivery situation of pregnant women with uterus myoma during the third trimester pregnancy |
| The People’s Hospital of Xinzhou, Xinzhou, ShanXi Province, 034000 |
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Abstract Objective: To analyze the clinical characteristic of pregnant women with uterus myoma during the third trimester pregnancy, and to explore their appropriate delivery model. Methods: The data of 109 pregnant women with uterus myoma (in the study group) and 100 pregnant women without uterus myoma (in the control group) were analyzed retrospectively. Results: In the study group, there were86 women diagnosed during pregnancy and 23 women diagnosed during cesarean section (CS). The incidences of abnormal fetal position, premature delivery, postpartum hemorrhage, neonatal asphyxia of women with lower uterus and cervix myoma were significant higher than those of women with uterus body myoma (P<0.05). The incidences of premature rupture of membranes, fibroid degeneration, abnormal fetal position, premature delivery, postpartum hemorrhage of women with intramural myoma were significant higher than those of women with subserous myoma (P<0.05). The incidences of fibroid degeneration, abnormal fetal position, and postpartum hemorrhage of women with uterus myoma equal to or over 5cm were significant higher than those of women with uterus myoma less than 5cm (P<0.05). The incidences of premature delivery and postpartum hemorrhage of women with multipleuterus myoma were significant higher than those of women with single uterus myoma (P<0.05). There were no significant difference in labor progress situation, rate of postpartum hemorrhage, and neonatal asphyxia rate between the two groups (P>0.05)．In the study group, operation time, volume of bleeding during operation, and the hospital stay time, and cost of women with CS and myomectomy were significant higher than those of women with CS only (P<0.05). Conclusion: Uterus myoma maybe influences the pregnancy and delivery of women, so the myoma location, size and number of myoma should be fully considered for delivery mode choosing. It is suggested that vaginal delivery should be the first choice, and myomectomy during CS should comply with the clinical indications strictly.
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