Myomectomy during pregnancy

Background: The incidence of uterine fibroids in reproductive-aged women is 70%. At the same time, every year there is an increase in the incidence of uterine fibroids in women younger than 30 years, and, accordingly, an increasing number of pregnant women with uterine fibroids. In most cases, uterine fibroids during pregnancy are asymptomatic. Clinical cases that require surgical treatment during pregnancy deserve attention. These are generally complications due to the large size of the node(s), necrosis of the node, torsion of the nodal pedicle, and development of peritoneal symptoms. Case report: The paper describes a clinical case of myomectomy surgery at the Clinic of Professor Bushtyreva LLC for large uterine fibroids complicated by pain syndrome at 16 weeks’ gestation, which made it possible to prolong pregnancy to full term and to give birth to a healthy baby weighing 2700g. Conclusion: Pregnancy management in the presence of uterine fibroids needs a personalized approach, is an important and difficult stage that requires the unity of the specialty of obstetrics and gynecology. The myoma nodules that pose a real threat to the successful prolongation of pregnancy are to be surgically treated. These pregnant women should be followed up in the facilities where organ-sparing surgery can be performed with subsequent pregnancy prolongation.

uterine fibroids, pregnancy, myomectomy