In the obstetrics clinic, we often meet patients who come in with ultrasound sheets and worry: “Doctor, I have so many fibroids, am I not going to have a baby? Doctor, I have fibroids, so I should have a cesarean section. The patient’s mood is understandable, but the removal of fibroids during cesarean section is not a one-two punch, the pros and cons are clear, I will briefly explain. 1, fibroids are not an indication for cesarean section, cesarean section is very damaging to the uterus, the integrity is broken, easy to secondary endometriosis, scar uterus again pregnancy risk is great, easy to pregnancy to the incision caused by The risk of rupture of the uterus, the risk of trial of labor, and the risk of another cesarean section; the cesarean section is an open surgery, and there are many complications such as pelvic adhesions and delayed healing of the incision after surgery. In short, the surgery must meet the indications, must be done or clear advantages outweigh the disadvantages should be done. 2, cesarean section surgery to remove fibroids, bleeding, risky, may lead to the removal of the uterus. Uterine fibroids grow very fast during pregnancy because of rich blood flow, and the uterus is also in an extremely rich and soft state before delivery, so bleeding during cesarean section is usually more than 300-500ml, at this time to continue to remove fibroids, there will be more bleeding, larger incisions and more difficult sutures than during non-pregnancy; in addition, the uterus should contract on its own after the fetal placenta is taken out, which is called reversion. In addition, the uterus should contract on its own after the removal of the fetal placenta, which is called the rejuvenation. If the bleeding is difficult to control during the operation, the uterus may be removed in order to save the life.3. After the end of pregnancy, it takes 6 weeks for the uterus to fully recover, and it can basically return to the non-pregnant state, during which the uterus gradually shrinks and the blood supply gradually returns to the pre-pregnancy state, so the fibroids will also shrink to a certain extent, which means that the fibroids after the end of pregnancy (and breastfeeding) will be smaller than when you were pregnant, and some of them can even shrink to the extent that no surgery is needed. Even if surgery is needed, minimally invasive surgical methods such as laparoscopy and hysteroscopy can be considered to maintain the integrity of the uterus as much as possible, reduce bleeding and reduce the risk of surgery. The only advantage of this surgery is that it solves two problems in one operation, saving money and heartache, and for those pregnant women who are particularly burdened by problems, it is a relief. It should be noted that not all pregnant women with fibroids should be delivered by cesarean section. If the fibroids are too large and have obstructed the birth canal (e.g. cervical fibroids, lower submucosal fibroids), there is little hope for a successful trial of labor, or the progress of labor is unsatisfactory, and a cesarean section is needed because of obstetric indications, or if the fibroids are red and degenerative, or if the placenta is attached to the fibroids, a cesarean section should be considered. If you have a small fibroid, you can consider a cesarean section to remove it. If you have a large fibroid or a large number of fibroids, it is better not to move them, but to do laparoscopy in a few months. In a word, the surgery must be done, but do not do what can be done, money is a small thing, injury and risk is a big thing!