Fibroids are larger than the abdominal fibroids removed one year and three months of unplanned pregnancy ultrasound suggests that the normal position and normal development of the embryo can continue to be pregnant. After open excision of large uterine fibroids, the uterus will be scarred, because the large fibroids will make the scar area large, and the short interval between pregnancies will increase the risk of uterine rupture and post-partum hemorrhage, so women with reproductive requirements are recommended to get pregnant again after 2 years. However, in the case of an unplanned pregnancy one and a half years after the operation, if the ultrasound indicates that the embryo is well developed, the pregnancy should be continued under close monitoring. Pregnancy after keloid uterus surgery is a high-risk pregnancy. Ultrasound examination should be performed in early pregnancy to clarify the intrauterine pregnancy and the position of the embryo, and the position of the placenta should be monitored dynamically during pregnancy to clarify whether there is any combination of placenta implantation, placenta praevia, and other serious complications in a timely manner. Fetal heartbeat changes and contractions should be closely monitored, and the pregnancy should be terminated at the right time according to the condition of the mother and child, so as to ensure the safety of the mother and child.