If uterine fibroids are detected after pregnancy, the treatment should be based on factors such as the month of pregnancy, fibroid size, and clinical manifestations.
(l) Treatment of uterine fibroids in early pregnancy: Intervention on uterine fibroids in early pregnancy can easily lead to miscarriage, so you can wait until the second trimester. If the fibroids are large, it is estimated that there will be more chances of complications in continuing the pregnancy. If the patient requires artificial abortion, the pregnancy can be terminated first and fibroids should be removed in the short term, or fibroids should be removed together with artificial abortion.
(2) Treatment of uterine fibroids in the second trimester: ① If the diameter of the fibroids is less than 6 cm and asymptomatic, regular prenatal check-ups are required. Most do not require special treatment. ; ② The diameter of fibroids is greater than 6 cm. As the uterus grows, fibroids may continue to increase. Large fibroids are prone to red changes that stimulate uterine contraction or peritoneal irritation symptoms. At that time, the obstetrician will only recommend that the patient rest in bed and Conservative treatment such as analgesics is used. Myomectomy surgery is rarely recommended during pregnancy and should only be performed as a last resort.
(3) Treatment of uterine fibroids in late pregnancy: Small fibroids may not be treated. If the diameter of the fibroids is greater than 8 cm but there are no symptoms, you can wait until term for a cesarean section and perform uterine fibroid removal surgery at the same time. Because large uterine fibroids may not only affect uterine contractions, cause abnormal production and delay labor, but also may cause postpartum placenta retention, postpartum hemorrhage and postpartum infection than normal mothers. In some cases, the uterus may be forced to be removed due to uncontrollable postpartum hemorrhage or postpartum infection. Therefore, elective cesarean section is the appropriate mode of delivery, and cesarean section is accompanied by fibroid removal.
This article is provided by Baidu Reading and is excerpted from \”The Clear \”Conception\” Plan\” Author: Sun Jianqiu and Xie Yingbiao