Outcomes of Myomectomy at the Time of Cesarean Section among Pregnant Women with Uterine Fibroids: A Retrospective Cohort Study
| Autor: | Rong Zhao, Weiyuan Zhang, Liying Zou, Xin Wang |
|---|---|
| Rok vydání: | 2019 |
| Předmět: |
Adult
medicine.medical_specialty Article Subject Uterine fibroids Birth weight medicine.medical_treatment lcsh:Medicine General Biochemistry Genetics and Molecular Biology 03 medical and health sciences Prenatal ultrasound 0302 clinical medicine Pregnancy Uterine Myomectomy medicine Humans 030212 general & internal medicine reproductive and urinary physiology Retrospective Studies 030219 obstetrics & reproductive medicine Leiomyoma General Immunology and Microbiology Cesarean Section Obstetrics business.industry Medical record lcsh:R Retrospective cohort study General Medicine medicine.disease female genital diseases and pregnancy complications Uterine myomectomy surgical procedures operative Female business Pregnancy Complications Neoplastic Research Article |
| Zdroj: | BioMed Research International, Vol 2019 (2019) BioMed Research International |
| ISSN: | 2314-6141 2314-6133 |
| Popis: | Objective. A retrospective study was performed to evaluate the safety and feasibility of cesarean myomectomy among pregnant women with uterine fibroids (UFs). Methods. Upon data collection, the pregnant women with UF underwent cesarean section in the 39 hospital divided into two groups: cesarean myomectomy group, receiving cesarean section and myomectomy; cesarean group, receiving cesarean section only. Information about the type, location, and number of UFs was collected from the medical records or the prenatal ultrasound examinations. Results. In the cesarean myomectomy group, the proportion of subserous UFs was significantly higher than the cesarean group (65.6% versus 49.3%, P < 0.0001). The comparison of postpartum hemorrhage, neonatal weight, fetal distress, and neonatal asphyxia showed no statistical significance. Multivariate logistic regression analysis demonstrated that birth weight ≥4000 g (OR 3.1, 95% CI:1.6–6.0) and presence of diameter > 5 cm fibroids (OR 2.2, 95%CI:1.3–4.0) were high risk factors for PPH ≥1,000 ml. Conclusions. Myomectomy during cesarean section was a common procedure in mainland China. Myomectomy cesarean could be safe and feasible based on the estimation by experienced obstetricians. During the procedure, special attention should be paid to a large-sized leiomyoma ≥5cm and birth weight ≥4,000 g. |
| Databáze: | OpenAIRE |
| Externí odkaz: |
|
| Nepřihlášeným uživatelům se plný text nezobrazuje | K zobrazení výsledku je třeba se přihlásit. |