Leiomiomatose uterina e as suas implicações na gravidez

• Autor(es): Silva,Andreia Maria da ; Costa,Antónia
• Data: 2018
• Origem: SciELO Portugal
• Assunto(s): Uterine fibroids; Leiomyoma; Pregnancy; Obstetric labor complications
• Tipo de Documento: Artigo científico
• Idioma: Português

Descrição

The prevalence of uterine leiomyomatosis (UL) in pregnancy is 3.2-10.7% with a complication rate of 10-40%. Due to the heterogeneity of its behavior in pregnancy, it is impossible to predict its course. The most frequent clinical complaint is pain (89%), metrorrhagia (41%) and cystic degeneration (6%). UL increases the risk of: miscarriage (2x), preterm labor (3.9%, less than 34 weeks) and premature rupture of membranes (10.4%). Dynamic dystocia and fetal malpresentation (5.3%) are the main causes of the high cesarean rate (33%). UL is associated with placenta previa (1.4-3.5%), placental abruption (0-7.5%), retained placenta (1.25-2.4%) and postpartum haemorrhage