Risks of bearing a child with neoplasms
Myoma is a benign tumor that occurs against the background of dyshormonal processes in the body.Pregnancy after removal of fibroids requirescareful monitoring Photo: Getty The tumor causes circulatory insufficiency in the placenta. The active blood flow in the placenta leads to a disruption of the blood supply to the fibromatous nodes. Their decay is possible. There is a sharp pain in the lower abdomen, which threatens with contractions of the uterus and interruption of pregnancy. No one survey can predict how the myoma will behave during pregnancy. During pregnancy, a hormone that supports fetal development is produced - progesterone. According to statistics, 96% of benign fibromiomas do not grow under the influence of progesterone, even slightly decrease. But 4% of the formations are hormone dependent. If the tumor is hormone-dependent, then it requires immediate surgical intervention.
Removal of fibroids during pregnancy: indications for surgery
Surgical intervention is performed according to strict indications. Removal of fibroids during pregnancy is performed at 16 weeks. Indications for excision of a benign tumor:
- the size of the formation is more than 7 cm in diameter;
- rapid growth of the tumor;
- power failure node;
- severe pain.
The operation is preferably performed by a laparoscopic method. With laparoscopy, the woman's health risk is minimized.
Complications after surgery
During pregnancy after removal of fibroidsAn ultrasound examination of the uterus and fetus is performed every month to monitor the thickness of the postoperative scar. If the scar is thinned, natural childbirth is impossible. This can lead to a rupture of the uterus. If surgical intervention is refused, intrauterine growth retardation of the fetus is observed. If the uterine cavity is deformed by a node, the growing child begins to lack space. The uterus is overstretched, which can cause premature birth. Then it is necessary to take drugs that will help eliminate the tone of the uterus. If a woman has multiple uterine fibroids, then during pregnancy only those nodes that interfere with the vital functions of the fetus are removed. If the operation is not performed in time, then during childbirth the fibroid will interfere with the contraction of the uterus, which will complicate the process of the birth of the child.