Maternal and Perinatal Outcomes of Pregnancies with Uterine Leiomyomas
OBJECTIVE: We aimed to determine the effect of uterine leiomyoma characteristics and cesarean myomectomy on maternal and perinatal outcomes. STUDY DESIGN: The study included patients with singleton pregnancies and uterine leiomyomas who had delivered at or beyond 24 weeks' gestation; without...
Saved in:
| Main Authors: | , , , , , , |
|---|---|
| Format: | Article |
| Language: | English |
| Published: |
Medical Network
2023-08-01
|
| Series: | Gynecology Obstetrics & Reproductive Medicine |
| Subjects: | |
| Online Access: | https://gorm.com.tr/index.php/GORM/article/view/1333 |
| Tags: |
Add Tag
No Tags, Be the first to tag this record!
|
| _version_ | 1823857335426088960 |
|---|---|
| author | Caner Kose Busra Korpe Tugba Kinay Seval Yilmaz Ergani Rahmi Sinan Karadeniz Ali Turhan Caglar Yaprak Engin Ustun |
| author_facet | Caner Kose Busra Korpe Tugba Kinay Seval Yilmaz Ergani Rahmi Sinan Karadeniz Ali Turhan Caglar Yaprak Engin Ustun |
| author_sort | Caner Kose |
| collection | DOAJ |
| description |
OBJECTIVE: We aimed to determine the effect of uterine leiomyoma characteristics and cesarean myomectomy on maternal and perinatal outcomes.
STUDY DESIGN: The study included patients with singleton pregnancies and uterine leiomyomas who had delivered at or beyond 24 weeks' gestation; without comorbidities, uterine anomalies, or fetal malformations. Data from 240 patients were studied between 2012 and 2022 in the perinatology clinic of a tertiary care center. Maternal and perinatal outcomes were obtained from medical records.
RESULTS: Among the women with uterine leiomyomas, 21.7% were delivered vaginally and 78.3% via cesarean section. Myomectomy was performed in 150 out of 188 (79.8%) patients undergoing cesarean section. It was found that cases with leiomyomas ≥7 cm, compared to those with <4cm, had deliveries at earlier gestational weeks (36w6/7±2d vs. 37w+6/7±2d, p=0.018) and had lower newborn birthweight (2849.44±516.74 g vs. 3237.5±350.6 g, p<0.001), longer operation time (105.92±34.78 min vs. 68.21± 22.31 min, p<0.001) and a higher rate of neonatal intensive care unit requirement (48.1% vs. 13.7%, p<0.001). In cases with ≥2 leiomyomas compared to those with single leiomyomas, gestational age at birth was smaller and birthweight was lower (p<0.05). The amount of blood loss (969.66±427.21 mL vs. 738.15±337.2 mL and 553.84±366.46 mL), duration of surgery (83.23±29.56 min vs. 64.47±17.96 min) and transfusion requirements (36% vs. 5.3% and 28.8%) were higher in women who underwent myomectomy during cesarean section than in the other women undergoing only cesarean section or delivering vaginally (p<0.05).
CONCLUSION: It was found that a leiomyoma size of ≥7 cm and number of ≥2 were both associated with earlier gestational age at birth and lower birth weight. Myomectomy performed during cesarean section increased the blood loss, duration of surgery, and the need for transfusion.
|
| format | Article |
| id | doaj-art-2ba55467d4d442b89f8a850c41fe2443 |
| institution | Kabale University |
| issn | 1300-4751 2602-4918 |
| language | English |
| publishDate | 2023-08-01 |
| publisher | Medical Network |
| record_format | Article |
| series | Gynecology Obstetrics & Reproductive Medicine |
| spelling | doaj-art-2ba55467d4d442b89f8a850c41fe24432025-02-11T21:17:25ZengMedical NetworkGynecology Obstetrics & Reproductive Medicine1300-47512602-49182023-08-0129210.21613/GORM.2022.1333Maternal and Perinatal Outcomes of Pregnancies with Uterine LeiomyomasCaner Kose0Busra Korpe1Tugba Kinay2Seval Yilmaz Ergani3Rahmi Sinan Karadeniz4Ali Turhan Caglar5Yaprak Engin Ustun6ETLIK ZUBEYDE HANIM HOSPITALETLIK ZUBEYDE HANIM HOSPITALETLIK ZUBEYDE HANIM HOSPITALETLIK ZUBEYDE HANIM HOSPITALETLIK ZUBEYDE HANIM HOSPITALETLIK ZUBEYDE HANIM HOSPITALETLIK ZUBEYDE HANIM HOSPITAL OBJECTIVE: We aimed to determine the effect of uterine leiomyoma characteristics and cesarean myomectomy on maternal and perinatal outcomes. STUDY DESIGN: The study included patients with singleton pregnancies and uterine leiomyomas who had delivered at or beyond 24 weeks' gestation; without comorbidities, uterine anomalies, or fetal malformations. Data from 240 patients were studied between 2012 and 2022 in the perinatology clinic of a tertiary care center. Maternal and perinatal outcomes were obtained from medical records. RESULTS: Among the women with uterine leiomyomas, 21.7% were delivered vaginally and 78.3% via cesarean section. Myomectomy was performed in 150 out of 188 (79.8%) patients undergoing cesarean section. It was found that cases with leiomyomas ≥7 cm, compared to those with <4cm, had deliveries at earlier gestational weeks (36w6/7±2d vs. 37w+6/7±2d, p=0.018) and had lower newborn birthweight (2849.44±516.74 g vs. 3237.5±350.6 g, p<0.001), longer operation time (105.92±34.78 min vs. 68.21± 22.31 min, p<0.001) and a higher rate of neonatal intensive care unit requirement (48.1% vs. 13.7%, p<0.001). In cases with ≥2 leiomyomas compared to those with single leiomyomas, gestational age at birth was smaller and birthweight was lower (p<0.05). The amount of blood loss (969.66±427.21 mL vs. 738.15±337.2 mL and 553.84±366.46 mL), duration of surgery (83.23±29.56 min vs. 64.47±17.96 min) and transfusion requirements (36% vs. 5.3% and 28.8%) were higher in women who underwent myomectomy during cesarean section than in the other women undergoing only cesarean section or delivering vaginally (p<0.05). CONCLUSION: It was found that a leiomyoma size of ≥7 cm and number of ≥2 were both associated with earlier gestational age at birth and lower birth weight. Myomectomy performed during cesarean section increased the blood loss, duration of surgery, and the need for transfusion. https://gorm.com.tr/index.php/GORM/article/view/1333LeiomyomasMaternal outcomeMyomectomyPregnancyPerinatal outcome |
| spellingShingle | Caner Kose Busra Korpe Tugba Kinay Seval Yilmaz Ergani Rahmi Sinan Karadeniz Ali Turhan Caglar Yaprak Engin Ustun Maternal and Perinatal Outcomes of Pregnancies with Uterine Leiomyomas Gynecology Obstetrics & Reproductive Medicine Leiomyomas Maternal outcome Myomectomy Pregnancy Perinatal outcome |
| title | Maternal and Perinatal Outcomes of Pregnancies with Uterine Leiomyomas |
| title_full | Maternal and Perinatal Outcomes of Pregnancies with Uterine Leiomyomas |
| title_fullStr | Maternal and Perinatal Outcomes of Pregnancies with Uterine Leiomyomas |
| title_full_unstemmed | Maternal and Perinatal Outcomes of Pregnancies with Uterine Leiomyomas |
| title_short | Maternal and Perinatal Outcomes of Pregnancies with Uterine Leiomyomas |
| title_sort | maternal and perinatal outcomes of pregnancies with uterine leiomyomas |
| topic | Leiomyomas Maternal outcome Myomectomy Pregnancy Perinatal outcome |
| url | https://gorm.com.tr/index.php/GORM/article/view/1333 |
| work_keys_str_mv | AT canerkose maternalandperinataloutcomesofpregnancieswithuterineleiomyomas AT busrakorpe maternalandperinataloutcomesofpregnancieswithuterineleiomyomas AT tugbakinay maternalandperinataloutcomesofpregnancieswithuterineleiomyomas AT sevalyilmazergani maternalandperinataloutcomesofpregnancieswithuterineleiomyomas AT rahmisinankaradeniz maternalandperinataloutcomesofpregnancieswithuterineleiomyomas AT aliturhancaglar maternalandperinataloutcomesofpregnancieswithuterineleiomyomas AT yaprakenginustun maternalandperinataloutcomesofpregnancieswithuterineleiomyomas |