A woman can become pregnant even when she has myoma and this is not a risk to the baby or the mother. However, when a woman gets pregnant when she has myoma, there can be bleeding as a result of hormonal changes which occur during pregnancy, and can increase the myoma.
The symptoms of pregnancy are only experienced when there are large, numerous fibroids inside the uterus, which can cause risks to the pregnancy. The main treatment is rest and using analgesic medications such as paracetamol and ibuprofen.
Risks of myoma in pregnancy
Myoma that occurs during pregnancy is not severe but there may be complications in the woman when the myoma is large and is located in the inner part of the uterus. such as intramural myoma. Risks can be:
- Abdominal pain and colic, which can occur at any period of pregnancy.
- Abortion, happens in the first trimester of pregnancy, because some fibroids can cause intense bleeding.
- Placental detachment , such as fibroids that occupy the site or hinder the fixation of the placenta in the wall of the uterus.
- Limitation of the growth of the baby, by very large fibroids that occupy or push the uterus.
- Premature delivery, because childbirth can be anticipated in large fibroids, which cause bleeding and cramping.
When such situations occur, they may be delicate and should be monitored by the obstetrician who will perform examinations such as ultrasounds.
How treatment is done
It is not always necessary to treat myoma during pregnancy but in such occasions, rest and using analgesic medications like paracetamol or ibuprofen are prescribed for women who may experience symptoms of pain and bleeding.
Surgery for the removal of myoma may be done during pregnancy and be done via the belly or the vagina. It is usually performed in cases where the fibroids cause persistent pain and bleeding or they are large to the point of posing risks to the baby or the woman. However, even in such cases, the decision to perform surgery should only be made when the risk of surgery is lower than the risk of the myoma remaining in the uterus.
How does childbirth look
Most cases do not cause risk to the baby or the mother as delivery can be normal, especially for women who have small fibroids and fewer symptoms. Caesarean section may be performed by the obstetrician for pregnant women with fibroids that:
- Bleed or have a risk of bleeding, causing a higher chance of bleeding in childbirth.
- They are very painful, causing pain and suffering to the woman during childbirth.
- They take up a lot of space in the uterus, making it difficult to leave the baby.
- They involve much of the wall of the uterus, hindering or altering its contraction.
The choice of delivery can be made by consulting the obstetrician, while taking into account the size and location of the myoma, as well as the desire of the woman to have normal delivery or caesarean section.
Caesarean section is better because there is a possibility that the myoma might be removed during childbirth, especially if they are outside the uterus.