Uterine fibroids (also called uterine fibroids or leiomyomas) are non-cancerous growths in the uterus. Many women have healthy pregnancies with fibroids, but their presence can sometimes affect the course of pregnancy depending on size, number, and location.
🌿 Impact of Fibroids During Pregnancy
1. Often no symptoms
Most fibroids do not interfere significantly with pregnancy.
Many are discovered incidentally during ultrasound.
2. Pain (common issue)
Rapid growth or degeneration of fibroids can cause severe abdominal pain.
This is called red degeneration.
3. Growth changes
Fibroids may grow due to pregnancy hormones, especially in the first trimester.
Some may shrink later.
4. Placental issues
Fibroids can interfere with implantation or placental position, increasing risk of problems like placenta previa.
⚠️ Possible Complications
During Pregnancy
Miscarriage (especially if fibroids distort the uterine cavity)
Preterm labor and early delivery
Placental abruption (placenta separates early)
Restricted fetal growth (less common but possible)
During Labor & Delivery
Malpresentation (baby not head-down)
Obstructed labor if fibroid blocks birth canal
Higher likelihood of Cesarean section
Weak uterine contractions
After Delivery (Postpartum)
Postpartum hemorrhage (heavy bleeding)
Retained placenta
Slower uterine contraction
🩺 When Fibroids Are More Risky
Risk increases if:
Fibroids are large (5–7 cm)
Located near the cervix or placenta
Multiple fibroids are present
They distort the uterine cavity
✅ Management During Pregnancy
Regular antenatal checkups and ultrasound monitoring
Pain managed with safe medications (as advised by a doctor)
Rest and hydration during pain episodes
Surgery (myomectomy) is rarely done during pregnancy unless absolutely necessary
