Patient's question:
Patient age: 23Detailed medical condition and purpose of consultation: Have uterine fibroids, want to have children
Duration and onset of this illness: Early
Medical history: Have hepatitis B
Doctor's answer:
Pregnancy: Because uterine fibroids tend to grow during the second trimester of pregnancy, if the size of the fibroids is over 5 centimeters during the early stages of pregnancy, there is a risk of miscarriage and preterm labor. In some cases, bed rest may be required. Additionally, if fibroids grow near the placenta, it is even more important to monitor the function of the placenta.Delivery: If the uterine fibroids are too large or obstruct the birth canal, a cesarean section may be necessary. Uterine fibroids can grow in many locations, but only those located in the cervix can affect delivery. Although this is rare, if it occurs, a cesarean section is required to ensure the baby is delivered safely. The decision to have a natural birth or a cesarean section should be made after 37 weeks of pregnancy, based on the location and size of the fibroids. If uterine fibroids are present, there may be poor uterine contractions during delivery, leading to postpartum bleeding.
Postpartum: Uterine fibroids naturally shrink. After delivery, the uterus will gradually contract back to its pre-pregnancy size, but the presence of fibroids can hinder this process. Therefore, it is important to monitor uterine contractions for a period of time after giving birth.