Outcomes of Myomectomy at the Time of Cesarean Section among Pregnant Women with Uterine Fibroids: A Retrospective Cohort Study
Joint Authors
Wang, Xin
Zhao, Rong
Zou, Liying
Zhang, Weiyuan
Source
Issue
Vol. 2019, Issue 2019 (31 Dec. 2019), pp.1-6, 6 p.
Publisher
Hindawi Publishing Corporation
Publication Date
2019-03-10
Country of Publication
Egypt
No. of Pages
6
Main Subjects
Abstract EN
Objective.
A retrospective study was performed to evaluate the safety and feasibility of cesarean myomectomy among pregnant women with uterine fibroids (UFs).
Methods.
Upon data collection, the pregnant women with UF underwent cesarean section in the 39 hospital divided into two groups: cesarean myomectomy group, receiving cesarean section and myomectomy; cesarean group, receiving cesarean section only.
Information about the type, location, and number of UFs was collected from the medical records or the prenatal ultrasound examinations.
Results.
In the cesarean myomectomy group, the proportion of subserous UFs was significantly higher than the cesarean group (65.6% versus 49.3%, P < 0.0001).
The comparison of postpartum hemorrhage, neonatal weight, fetal distress, and neonatal asphyxia showed no statistical significance.
Multivariate logistic regression analysis demonstrated that birth weight ≥4000 g (OR 3.1, 95% CI:1.6–6.0) and presence of diameter > 5 cm fibroids (OR 2.2, 95%CI:1.3–4.0) were high risk factors for PPH ≥1,000 ml.
Conclusions.
Myomectomy during cesarean section was a common procedure in mainland China.
Myomectomy cesarean could be safe and feasible based on the estimation by experienced obstetricians.
During the procedure, special attention should be paid to a large-sized leiomyoma ≥5cm and birth weight ≥4,000 g.
American Psychological Association (APA)
Zhao, Rong& Wang, Xin& Zou, Liying& Zhang, Weiyuan. 2019. Outcomes of Myomectomy at the Time of Cesarean Section among Pregnant Women with Uterine Fibroids: A Retrospective Cohort Study. BioMed Research International،Vol. 2019, no. 2019, pp.1-6.
https://search.emarefa.net/detail/BIM-1127401
Modern Language Association (MLA)
Zhao, Rong…[et al.]. Outcomes of Myomectomy at the Time of Cesarean Section among Pregnant Women with Uterine Fibroids: A Retrospective Cohort Study. BioMed Research International No. 2019 (2019), pp.1-6.
https://search.emarefa.net/detail/BIM-1127401
American Medical Association (AMA)
Zhao, Rong& Wang, Xin& Zou, Liying& Zhang, Weiyuan. Outcomes of Myomectomy at the Time of Cesarean Section among Pregnant Women with Uterine Fibroids: A Retrospective Cohort Study. BioMed Research International. 2019. Vol. 2019, no. 2019, pp.1-6.
https://search.emarefa.net/detail/BIM-1127401
Data Type
Journal Articles
Language
English
Notes
Includes bibliographical references
Record ID
BIM-1127401