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| Analysis of the factors of the uterine fibroids occurrence of pregnant women and its influence on the pregnancy outcomes |
| Obstetrics and Gynecology Hospital Affiliated to Nanjing Medical University(Nanjing Women and Children's Healthcare Hospital), Nanjing Jiangsu Province,212000 |
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Abstract To analyze the uterine fibroids occurrence of pregnant women, and to study its influence on the pregnancy outcomes of the women. Methods: The clinical data of 110 pregnant women with uterine fibroids(in research group) who had delivered in hospital from October 2019 to December 2022 were selected in this study. 110 normal pregnant women who had delivered in hospital during the same period were selected in control group. The clinical data of the women in the two groups were collected. The women in the study group were treated with simple cesarean section or cesarean section combined with myomectomy according to the specific situation of the women. The adverse delivery outcomes of the women in the two groups were counted. Logistic regression multivariate analysis was used to analyze the influencing factors of the uterine fibroids during pregnancy. The delivery mode and the maternal and infant pregnancy outcomes were compared between the two groups. Spearman correlation analysis was used to analyze the correlation between the uterine fibroids occurrence of the pregnant women and their adverse pregnancy outcomes. Results: Logistic regression analysis showed that the high pre-pregnancy body mass index value, the gynecological diseases before pregnancy and the drinking within 1 month before pregnancy of the women were the risk factors for their uterine fibroids occurrence during pregnancy(P<0.05). The incidence of the adverse pregnancy outcomes(60.9%) and the cesarean section rate(70.0%) of the women in the study group were significantly higher than those(20.9% and 17.3%) of the women in the control group(all P<0.05). Spearman correlation analysis showed that the occurrence of uterine fibroids during pregnancy of the women was positively correlated with their adverse pregnancy outcomes(r=0.652, P<0.05). Conclusion: The influence factors of the uterine fibroids occurrence of the women during pregnancy include the high pre-pregnancy body mass index value, the gynecological diseases before pregnancy and the drinking within 1 month before pregnancy. The incidences of adverse pregnancy outcomes and cesarean section of the pregnant women with uterine fibroids during pregnancy increase, which should be prevented and controlled in clinical practice.
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