Nishtha Handa

Hindu Rao Hospital, India

Title: Feto maternal outcomes of fibroid in pregnancy: A retrospective observational study

Abstract

Uterine fibroid is one of the most common intrauterine masses among females at reproductive age. Although most of the uterine fibroids are asymptomatic during pregnancy, serious complications may occur.

Objective: This study is to assess the obstetric outcome (maternal and fetal) in pregnancy with fibroid.

Methods: A retrospective observational study was performed at Obstetrics and Gynecology Department in ABVIMS and RML hospital. 50 pregnant patients with >2 cm size fibroids were taken in the study. Maternal age, parity, size of the fibroid, complications during pregnancy, and mode of delivery were noted.

Result: 20% of pregnancies ended up in spontaneous abortions. 60% of them had to undergo caesarean section out of which, 10% was for non-progress of labor (NPOL), 5% for outlet obstruction, 5% with malpresentation, 16% patients with APH, 4% patients had elective LSCS for placenta previa and 10% with previous cesarean who were not willing for Vaginal delivery. Other complications; placenta previa 16% and low lying placenta10% patients, pre-eclampsia 20%, malpresentation 20%. Post-partum hemorrhage (PPH) was seen in 24% of the cases. 4% cases had red degeneration which were managed conservatively. Neonatal outcomes included 30% of babies born preterm, 40% being small for gestational age, 10% having low 1-minute APGAR score and 4% with low APGAR at 5 and 10 min. 30% had NICU admission for varied reasons.

Conclusion: Fibroids in pregnancy may be associated with complications affecting the course of pregnancy and labor. So, pregnancy must be cautiously monitored in the antenatal period, through regular follow-up.

Biography

Nishtha Handa has completed his MBBS from NDMC Medical College, New Delhi, India. She did her MS in obstetrics and gynecology from ABVIMS and Ram Manohar Lohia Hospital, Delhi at the age of 26. She has been working as a Senior Resident in Dept of OBGYN in Hindu Rao Hospital for over a year. She also cleared her DNB exam in December 2022. She is also on the road of clearing her MRCOG. She has done fellowship in Minimal Access Surgery in gynecology along with advanced Ultrasound Training.

2nd International Conference on Gynecology and Obstetrics

Nishtha Handa

Title: Feto maternal outcomes of fibroid in pregnancy: A retrospective observational study

Abstract

Biography

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