Complications of uterine leiomyomas in pregnancy.

TLDR

Uterine leiomyomas occur in about 2 % of pregnant women, and 10 % of those with myomas experience complications such as painful myomas syndrome, preterm premature rupture of membranes, malpresentation, higher cesarean rates, and postpartum endomyometritis. In this cohort, fever, rebound tenderness, and elevated white blood cell count were not linked to pain, and short courses of ibuprofen effectively controlled pain.

Abstract

Uterine leiomyomas are found in approximately 2% of pregnant women. One of ten women with myomas will have complications related to myomas during pregnancy. The major complication is the syndrome of painful myomas of pregnancy, characterized by second- and early third-trimester pain and occasionally bleeding. In our population, fever, rebound tenderness, and elevated white blood cell count were not associated with pain. Short courses of ibuprofen were successful in controlling pain in these women. Other complications of myomas in pregnancy included preterm premature rupture of the membranes, malpresentation, increased cesarean delivery rate, and postpartum endomyometritis.