Is it possible to give birth with uterine fibroids: features and risks

2024 Author: Priscilla Miln | [email protected]. Last modified: 2023-12-16 00:21

Uterine fibroids - a benign tumor of the muscular layer of the uterus (myometrium) It appears due to sudden active cell division. Doctors have not yet fully understood the reasons for the onset of such a process. But it is precisely revealed that the main provocateur of the disease is the accelerated production of estrogen in the body. It is this hormone that provokes the active growth of uterine fibroids, while progesterone has the opposite effect. However, even if there is a normal amount of estrogen and progesterone in the blood, one cannot be sure that a woman does not have uterine fibroids.

Can cause infertility

Can I give birth with uterine fibroids? Uterine fibroids and childbirth are two compatible definitions. But in order for labor to go smoothly, it is important for a woman to undergo an additional ultrasound before the birth of a child. This will help pinpoint the location of the tumor and its overall size.

Most often, uterine fibroids are not so dangerous and do not prevent conception and childbirth. In medical practice, there are many cases when a woman with such a diagnosis managed to get pregnant normally and give birth to a completely he althy child.

But there are cases when uterine fibroids still increase the risk of infertility in women. The main reasons for this process are not precisely established. But if you start an effective and comprehensive treatment of uterine fibroids in a woman, then the chance that she will successfully become pregnant in the future increases.

What to do with the disease

Is it possible to give birth to a child with uterine fibroids? If a woman wants to get pregnant, but she has uterine fibroids, then for a start it is important for her to conduct an ultrasound of the organ, and show the result of the examination to the doctor. Before conceiving a child, in order to avoid all possible risks and complications, it is important to determine the overall size of the formation and its location, as well as whether there are other dangerous formations in the uterus.

The type and location of fibroids in the uterus is the main factor that can adversely affect the course of the entire pregnancy and labor. The presence of intramural or subserous fibroids does not affect pregnancy and the success of the birth of a child. But it is important to remember that submucosal (submucosal) fibroids is a rather serious formation that can provoke complete infertility or miscarriage if conception has already occurred.

The size of uterine fibroids is also quite important. In order for a woman to be able to give birth to a he althy child and normally endure the entire pregnancy, the formed formation should not deform the uterine cavity, that is, change its initial structure and appearance.

Actions of a woman

Can I give birth with uterine fibroids? If a woman hasthere is uterine fibroids, then getting pregnant, as a rule, is not a particular problem for her. Most often, conception occurs involuntarily, without taking medications and providing medical care. But it is important to note that a woman must become pregnant within 12 months after the discovery of the disease.

Otherwise, it is important for her to go to the doctor to determine the size and shape of the formation, and also prescribe an effective treatment for uterine fibroids. The older the woman's age, the shorter the period of time that is allotted for the conception of a child. For example, if a woman is already 35 years old, then the time of conception is reduced to 6 months.

If a woman has had a miscarriage several times before, or the uterine fibroids have reached too large a size and do not allow spermatozoa to reach the egg normally or pass through the fallopian tubes, then the attending specialist prescribes complex treatment for her. Without a full-fledged treatment of fibroids on the wall of the uterus, a woman's pregnancy simply will not occur.

How to get rid of infertility?

If the main cause of infertility in a woman was uterine fibroids, and she could not get pregnant over the next 12 months, then it is important to start a full-fledged treatment of education. The course of treatment will be prescribed depending on the type of formation and its overall size. Most often, medicines and surgery are used to eliminate fibroids.

According to many doctors, conception has a positive effect on fibroids. It is for this reason that many attending physicians recommend that a woman as much as possibleget pregnant and have a baby soon.

Could there be an increase in the size of education

Most often, uterine fibroids do not change their size throughout pregnancy, and only in 20-30% of cases it becomes larger. Active growth of education can begin in the first trimester of bearing a child.

But it is important to remember that education increases only slightly - fibroids become larger by 6-12 percent. But sometimes it also happens that education increases by 25 percent or more. In this case, it is important for a woman to undergo urgent treatment. Most often in the third trimester and after the birth of the child, fibroids begin to decrease dramatically.

Danger of miscarriage

The risk that a woman will have a miscarriage, or the pregnancy will slow down in development, increases dramatically if the patient has been found to have fibroids. In this case, the size of the formation does not play a special role. It is very important to determine their number. If the fibroid is in the uterus in a single amount, then the risk of miscarriage is much lower.

It is also very important to determine the location of the formed fibroids. A miscarriage most often occurs when the neoplasm is located in the uterus, under the mucous membrane (submucosal fibroids). If it is located in the lower region of the uterus, then the risk of miscarriage is not so high. Also, a woman with uterine fibroids often has bloody discharge.

Danger to the developing baby

In most cases, a neoplasm in the uterus does not affect the conditionchild and his development. But sometimes it happens that fibroids provoke some abnormalities in the baby.

Large fibroids can load some organs or parts of the child's body, which leads to a violation in the structure of the child's limbs and skull. But such processes are extremely rare and are more likely to be exceptions.

What you need to know

Can I give birth with uterine fibroids? Pain in the organ is the most important symptom of fibroids during pregnancy, and it can also indicate complications that have arisen in the body. Most often, pain syndrome occurs in the second or third trimester of pregnancy, when a woman has problems with the blood supply to the myomatous node.

During the bearing of a child, an insufficient amount of blood enters the neoplasm, which leads to hemorrhages in the myomatous node, after which the cells of the formation begin to die. This process is otherwise called "red degeneration". It most often occurs with fibroids larger than 5 centimeters.

If, while carrying a child, a woman has sudden pain in the lower abdomen, then it is important for her not to hesitate and seek help from a doctor. To determine the state of the body, an ultrasound is prescribed for a pregnant woman in order to identify the degree of change in fibroids. Treatment will directly depend on the results of the diagnosis.

Most often, a doctor advises a pregnant woman to follow bed rest and start drinking more water per day. To improve the condition, a woman is prescribed non-steroidal anti-inflammatory andpain medications.

If the pain syndrome is very pronounced and does not give rest, then the patient is sent to the hospital. She is given an epidural to ease the pain.

If the fibroid becomes dangerous for the he alth of the woman and the developing child, then the doctor removes the formation. It is important to remember that surgery can be quite dangerous. But in most cases, doctors manage to save both the woman and the child. If the operation to remove uterine fibroids was performed during pregnancy, then labor can be carried out by caesarean section.

Childbirth and education in the uterus

Can I give birth with uterine fibroids? In most women with uterine fibroids, conception occurs quickly, and the pregnancy ends positively. But it is important to be aware of some of the complications that may arise:

• The chance of preterm labor during pregnancy with uterine fibroids increases greatly (up to 37 weeks).
• The risk that placental abruption will begin, if the formation is located at the site of attachment of the uterus, increases 3 times.
• The risk of placenta previa increases in women diagnosed with fibroids.
• Women with uterine fibroids are more likely to have their placenta placed incorrectly (across the uterus or bottom down) in women.

Caesarean section or vaginal delivery

Uterine fibroids, even if it differs in its large size, is not considered a sign that a woman must undergocaesarean section.

If the bearing of the child is normal, and the woman feels satisfactory and the doctor does not note any problems in the development of the baby and its location in the uterus, then the patient can give birth without a caesarean section.

The need for CS appears if the doctor has detected any diseases in the child or placenta previa, if the fibroid is not one or located in the cervical segment of the uterus and may prevent the child from passing through the birth canal normally.

In addition, the doctor advises to perform a caesarean section if the woman previously gave birth with surgery or surgically eliminated fibroids, after which injuries remained in the uterine cavity.

According to statistics, women with uterine fibroids undergo CS more often than he althy women who do not have any problems with the genitals.

Conceiving after removal

Is it possible to give birth after uterine fibroids? Most often, the tumor formation is located in the smooth muscle layer of the uterus, in some cases the focus of the pathology is localized in the cervix. According to medical information, pregnancy after uterine fibroids occurs and proceeds successfully in more than half of all women. So there is no point in worrying too much.

Can I give birth with uterine fibroids? The development of education during pregnancy can be different:

• Sometimes myomatous nodes under the influence of produced hormones not only decrease in size, but completelypass without outside influence.
• In other cases, the tumor formation begins uncontrolled growth and development due to an excessive amount of hormones produced, which as a result can provoke spontaneous abortion.

Is it possible to give birth after uterine fibroids? Whether it is possible to conceive a child and give birth normally after removal of fibroids will directly depend on many factors, so no doctor can accurately answer this question without a diagnostic examination.

Chance of having a baby

Is it possible to give birth after removal of uterine fibroids? The ability to conceive a child after removal of the neoplasm directly depends on the characteristics of the operation. It is also very important to pay attention to the state of the reproductive system and the hormonal background of a woman both at an early stage of a child’s development and at a later stage. When treating education, it is important to follow all the prescriptions and recommendations of the treating specialist, who will help you plan your pregnancy correctly and give birth to a he althy baby.

After the operation to remove fibroids, the chance of conceiving a child is quite high. But it is important not only to get pregnant normally, but also to bear the baby. In order for pregnancy and labor to pass without complications, experts advise planning a pregnancy no earlier than a year after the removal of fibroids, and in some cases even after several years. Pregnancy after surgery is not dangerous and in most cases ends positively, more than 50 percent of cured women give birthfull and he althy children.

Rehabilitation period

To ensure normal pregnancy and labor after the operation, the patient must undergo a rehabilitation course. For proper recovery of the body, it is important to visit a gynecologist who will closely monitor the condition of the pelvis and abdominal cavity, and will also help plan pregnancy after treatment for uterine fibroids.

In the first few days after surgery, it is important to follow a special diet. Eat foods high in fiber to help prevent constipation and diarrhea.