Does uterine fibroids affect the fetus during pregnancy?

Uterine fibroids are a relatively common gynecological disease in women, and most uterine fibroids exist in the human body, sometimes without obvious abnormal symptoms. Most of them are discovered during examinations. Some pregnant women are found to have uterine fibroids during prenatal examinations. So does uterine fibroids affect the fetus during pregnancy?

Uterine fibroids combined with pregnancy account for 0.5% to 1% of uterine fibroid patients and 0.3% to 0.5% of pregnancies. Patients with small uterine fibroids and no symptoms are often overlooked, and the actual incidence rate is higher than reported. The impact of uterine fibroids on pregnancy and maternal delivery is related to the type and size of uterine fibroids. Cervical fibroids can affect embryo implantation and cause miscarriage in early pregnancy.

If the intramural uterine fibroids are too large, they may cause deformation of the uterine cavity or insufficient blood supply to the endometrium, leading to miscarriage. Uterine fibroids in a lower part of the growth and development area can hinder the fetal presenting part, resulting in abnormal fetal position, low-lying or external-lying placenta, and obstruction of the birth gate during the second and third trimesters of pregnancy and delivery. After the fetus is delivered, postpartum hemorrhage is likely to occur due to embryo adhesion, large adhesion area, difficulty in expulsion, and poor uterine contractions. Uterine fibroids are prone to reddening during pregnancy and postpartum period, but traditional treatment can usually alleviate the symptoms. Most pregnancies with uterine fibroids can result in natural delivery, but postpartum hemorrhage should be prevented. If uterine fibroids prevent the fetus from descending, a cesarean section should be performed. Whether the uterine fibroids should be removed during the operation depends on the size, location and condition of the patient.

Uterine fibroids affect fertility and are not conducive to eugenics. Even after pregnancy, uterine fibroids and the fetus in the uterine cavity will affect each other in the late pregnancy, which is very likely to cause miscarriage in the late pregnancy. Generally, uterine fibroids larger than 5CM require surgical treatment. Small uterine fibroids are not likely to affect pregnancy. However, regular maintenance is required, and it will not affect the development of the fetus for pregnant women. If the uterine fibroids are deformed, it may cause miscarriage.