Patient's question:
Patient age: 23Detailed medical condition and purpose of consultation: Have uterine fibroids, want to have children
Duration of this illness: Early stage
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 fibroid is over 5 centimeters during the early stages of pregnancy, it is important to be cautious of the risks of miscarriage and premature birth. In some cases, bed rest may be necessary. Additionally, if fibroids grow near the placenta, it is even more important to monitor the normal function of the placenta.Delivery: If the uterine fibroid is too large or obstructs the birth canal, a cesarean section may be required. 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 necessary to ensure the baby's safe birth. 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 uterine fibroid. If uterine fibroids are present, there may be poor uterine contractions during delivery, leading to postpartum bleeding.
Postpartum: Uterine fibroids naturally shrink on their own. After delivery, the uterus will gradually contract back to its pre-pregnancy size, but the presence of uterine fibroids can hinder this contraction. Therefore, it is important to monitor the condition of uterine contractions for a period of time after giving birth.