When fibroid co-exists with pregnancy

         
              Dr. Samuel Adebayo
Uterine fibroid, also known as Leiomyoma, is a benign (non-cancerous) tumour of the uterus (womb). Fibroids are the most common benign tumours in females and they occur during the reproductive years. They occur in up to 50 per cent of women.
The exact cause of this tumour is unknown; but some factors are associated with increased chance of developing uterine fibroid.
A family history is a factor. History of fibroid developing in women of the same family or race plays a role in a woman’s life. African women have between two and three times chances of developing fibroid than white women. Also, African women develop fibroid at a younger age, usually in their 20s and above, unlike white or caucasian women where fibroid may occur in their 30s or 40s.
No pregnancy or low pregnancy rate increases the risk, just as early onset of menses may also increase the risk of developing uterine fibroid. Obesity, alcohol consumption, and hypertension may also increase the chance of developing uterine fibroid.
Most women with fibroids have no symptoms. They may not even be aware that they have it. The most common symptom is abnormal bleeding when the tumours are near the uterine lining (that is womb lining). It can cause heavy periods, prolonged periods, or spotting or even bleeding between menses.
This excessive bleeding may lead to shortage of blood. It may also cause severe abdominal pain. Fibroid may also cause other symptoms, depending on their sizes, location and their closeness to other pelvic organs.
Because fibroid occurs during the reproductive age of women, fibroid and pregnancy may co-exist. Usually, because of the hormones of pregnancy, the fibroid tends to get bigger in pregnancy, though may also remain unchanged. In a few cases, they may even reduce in size. However, fibroids can complicate about two per cent of pregnancies.
Most women whose fibroids are co-existing with pregnancy will not develope any complication throughout the pregnancy and delivery, but about 20-30 per cent will develop one form of complications or the other from the onset of the pregnancy up to the time of delivery and afterwards.
A pregnant woman with co-existing firboid may be aware of the fibroid prior to pregnancy, or it may be detected during a routine early pregnancy ultrasound scan. It may even be a clinical observation during routine antenatal clinic when the womb appears far bigger than the age of the pregnancy.
In early pregnancy, presence of multiple uterine fibroids may be associated with increased risk of miscarriage. In late pregnancy, it could predispose to abnormal presentation of the baby, especially when the fibroid is occupying the lower segment of the womb. In other words, the fibroid may occupy the space where the head or the buttocks of the baby are supposed to be if the mother must have easy vaginal delivery.
The presence of multiple uterine fibroids in the womb may prevent the baby from turning at the right time; hence, the baby may be in an abnormal position from the beginning of the pregnancy to the onset of labour.
The presence of fibroid co-existing with pregnancy may present with an unusual pain during pregnancy. This is as a result of what is called “red degeneration of the fibroid mass” that occurs in pregnancy. The pain may be severe enough to require hospital admission during the pregnancy.
Also, presence of fibroid in the lower part of the womb may obstruct the labour process, making delivery very difficult or even impossible.
Multiple uterine fibroids may make labour process slow or ineffective. The presence of uterine fibroid increases the rate of operative delivery such as Cesarean Section.
After delivery, presence of multiple fibroids in the womb may make the womb contract poorly; thus increasing the chance of post-partum haemorrhage (that is excessive bleeding after delivery).
Treatment of fibroid in pregnancy depends on the presenting complaints and the gestational age. If pain is present, strong pain-killer that is safe in pregnancy is used. If presented with pre-term contraction, a group of drugs called Tocolytics are used to stop the womb from contractions that may lead to premature labour and delivery.
Multiple uterine fibroids may prevent the baby from presenting normal for normal vaginal delivery. In this case, surgery will be a better option. For example, fibroid in the lower part of the womb may obstruct labour and require surgical intervention.
After delivery, either by normal vaginal delivery or Cesaerian Section, medications are usually given to contract the womb adequately to reduce excessive bleeding that may complicate the delivery.
The removal of fibroid during Casearian Section is called Casearian Myomectomy. This procedure is still controversial, though; and it has been carried out successfully in some centres, but it still not a common practice.
Any pregnant woman with co-existing fibroids must register early and have a standard antenatal care, with skilled attendants at delivery to reduce or even avoid the likely complications that may arise during labour or after delivery.
Culled from Punch

Comments

  1. "Dear dr williams, your herb has saved my life and my sanity. I was scared, and had been seeing numerous specialists and almost all of the straight away told me I had to remove my uterus because of my large fibroid. Can you believe this? To top it all up, none of those doctors had answered my simple questions on the subject. I was so scared that I would not be able to have a baby as surgery seemed like the only choice then. Your product had dramatically allayed my fears. I have read many other guides on the subject of fibroids and i think dr williams herb is yours offers and the only true and lasting solution to fibroid. I am a walking living proof of that claim. It has been 3 months since I implemented dr williams herbal portion, and I am now completely clear of fibroids and I am sure I am on my way to become a mother. I also feel very healthy and vibrant. Thank god for your work and support dr williams, for more information about his herb you can also contact his email address drwilliams098675@gmail.com

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  2. ALL THANKS TO DR WILLIAMS

    his product is by far the best plan for treating fibroids naturally...the practical step by step instructions and the detailed information regarding the real cause and how to treat uterine fibroids were a real eye opener. I started dr williams medication after intense bleeding and pain which occurred during one of my rehearsals (I am a professional violinist).I was later that week diagnosed with 2 medium sized fibroids which placed an enormous pressure on my bladder. I was advised by 3 different doctors to undergo surgery to remove these fibroids as I was told that there was nothing I could do to shrink or stop their growth. Luckily, I ran into dr williams by accident as I was searching for information on the net regarding my condition. I was so relieved to have found that surgery was not always the answer, that it can be dangerous and that uterine fibroid can return even after surgical intervention. In less than 4 weeks of taking dr williams herbal portion and following his instruction, both of my fibroid had shrunk by 100% and the second ultrasound taken 7 weeks after I began taking dr williams medication, had shown that both of these were completely gone. I also my periods became regular. and now am three months old pregnant, you can contact his email address on drwilliams098675@gmail.com for advice and for his product.

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    I had a miscarriage in 2013. We’d only been trying to get pregnant for a couple of months, and when I got that first positive pregnancy test, it felt a little bit like a whoops! Well, okay. One evening, I came home from a book reading and was bleeding. I quickly turned to all my pregnancy books, and to the internet, all of which told me that a little bleeding could be normal and fine, but the longer it went on, and the more pain I was in, what was happening became clear. The bleeding wasn’t stopping, and neither was the pain. Even though it was obvious enough what was going on, I refused to take any pain medication. Because you’re not supposed to take blood thinners when you’re pregnant. That was how I lost my first pregnancy. And in two others in the same year I had to look for solution, because our family Doctor could not help, he has given us a lot of prescription but non worked, I had to look for solution on line and saw the contact of Dr Steve I contacted him through the mail and made purchase for his product which is a permanent solution to Miscarriage. Now am having two kids and I promise to tell the whole world about him if he helps me out. You can contact him for solution on drsteve833@gmail.com for a good solution to miscarriage.

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  4. Dr. Uduehi helped shrunk off my long term uterine fibroid. I had pelvic pain, heavy menses and swollen. I went to the hospital and was diagnosed of fibroid and advised to go for surgery I was scared and I went online for more info and remedy about fibroid. Luckily, I found Dr. Uduehi’s natural medication for fibroid. I reached out to him and the fibroid shrink and disappeared totally after treatment and is now a year plus since I got cured. contact: +234-708-487-8384 uduehiherbalcare@gmail.com

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