Myoma praevia and pregnancy

Hemoperitoneum caused by a bleeding myoma in pregnancy.

The prevalence of uterine myomas during pregnancy is estimated to range from 0.3% to 2.6%. Although leiomyomas usually remain asymptomatic, in one often cases they may be complicated. The management of uterine fibroids during pregnancy is largely conservative and surgical removal is generally delayed until post partum. A 37-year-old pregnant woman (15 weeks) with a history of gynecologic examin...

Vaginal Myomectomy for Semipedunculated Cervical Myoma during Pregnancy

Objective Cases of prolapsed myoma in which pregnancy was carried to full term or near term after vaginal myomectomy are very rare. Previously, only two such cases have been reported. In addition, both those patients had a pedunculated leiomyoma, which could be treated by twisting or clamping. Here, we report a case of a patient who was able to carry her pregnancy to term despite vaginal myomec...

Successful myomectomy of a bleeding myoma in a twin pregnancy

Uterine fibroids are often seen in pregnancy, with a reported prevalence between 0.1% and 15%. The incidence is increasing because more women delay pregnancy. The effect of uterine fibroids on fertility and pregnancy depends on number, size and location. In 2% of all pregnancies with uterine fibroids, conservative therapy fails and myomectomy by laparotomy or laparoscopy had to be performed, ma...

Placenta Praevia, Placenta Praevia Accreta and Vasa Praevia: Diagnosis and Management

Placenta praevia.

Signs and Symptoms Haemorrhage is of course the symptom that most frequently draws attention to the presence of a placenta praevia. It is usually of sudden onset and may occur when the patient is asleep in bed or carrying out her normal household duties. The amount lost varies considerably but is usually greater in the multipara than in the primigravida. The blood lost is usually bright red and...