2 research outputs found
Sonographic assessment of pregnancy co-existing with uterine leiomyoma in Owerri, Nigeria
Background: Uterine myomas co-existing with pregnancy could cause
obstetric complications. Objectives: To assess sonographically the
frequency of occurrence and effect of uterine myomas co-existing with
pregnancy. Methods: A longitudinal study was conducted during a period
of 23 months. A convenience sample of 816 consecutive consenting
pregnant women who met the inclusion criteria was evaluated during
routine prenatal ultrasound scan. The women were referred for prenatal
sonography. One hundred of the subjects who had myoma co-existing with
pregnancy and another 100 subjects without myoma were selected for
follow-up. These groups were followed up till delivery and obstetric
complications and outcomes were documented. Any changes in size and
growth rate of myoma were documented. Results: Subjects with myoma
co-existing with pregnancy were 12.3%. This was commoner with
increasing maternal age. An increase was observed in myoma mean size
from 60mm to 63mm from the 1st scan sequence to the 2nd scan sequence
and a reduction from 63mm to 59mm in the 3rd scan sequence. Myoma
growth rate was 0.667mm per week. Myomas in pregnancy especially large
ones caused more complications during delivery when compared to
pregnancies without myomas. Conclusion: Routine sonography is important
in pregnancy management of uterine myomas co-existing with pregnancy