Pregnancy with fibroids may have an effect on the fetus, with submucosal fibroids and larger intermural fibroids increasing the risk of miscarriage.
When ultrasound examination after pregnancy suggests the presence of fibroids, small fibroids generally have no effect on the fetus, while submucosal fibroids may affect the implantation of a fertilized egg and lead to early miscarriage.
Larger intermural fibroids may also cause miscarriage due to distortion of the uterine cavity or insufficient blood supply to the endometrium, and need to be evaluated according to the location and type of fibroid.
In the case of uterine fibroids in pregnancy, it is necessary to strengthen the management of pregnancy and closely monitor the growth and development of the fetus. Generally, those who have stable pregnancy can have a natural delivery, but postpartum hemorrhage should be actively prevented. However, when the fibroid obstructs the descent of the fetus during labor, cesarean section should be performed, and the uterine fibroids should be removed according to the size and location of fibroids during the operation.