Danger of uterine fibroids in the first trimester of pregnancy.
Complications in the first trimester of pregnancy appear with the contact of the myomatous node and the placenta. First of all, here there is a risk of oxygen deficiency and nutrients coming to the child. This can significantly affect its growth and development, including miscarriage or a stagnant pregnancy.
Whether myoma is dangerous in the second and third trimester of pregnancy.
In the second and third trimesters, the risk of premature birth and spontaneous miscarriages increases even more. Since the tumor reduces the free space in the uterus, necessary for the full development of the child. If the fibroid is large, it is likely that babies with a low body weight will be born.
Any stage of pregnancy.
At any stage of pregnancy, regardless of the trimester, there is a certain risk of the threat of termination of pregnancy. This is due to the fact that the contractility of the uterus in the presence of fibroids increases.
About 20% of women with uterine myoma face this situation. If, during the waiting period for the baby, the fibroid is destroyed, prostaglandins are released from it - special hormones that cause the contraction of any smooth muscles, including uterine muscles. In this case, pregnant women are recommended to take sedatives based on natural components (motherwort, valerian), vitamin B6, preparations with magnesium for prevention. In addition, during pregnancy, you need to limit physical activity and provide a woman with psychological rest.
Childbirth.
The process of delivery of the myoma rarely affects the process itself. But it is believed that every second woman with uterine myoma has a protracted character. Usually this serves as an excuse for drug-induced stimulation of labor. There are cases when large nodes of fibroids, located near the cervix, become an obstacle to the passage of the child through the birth canal. This serves as an indication for caesarean section surgery. Sometimes myoma can be combined with the transverse position of the fetus, facial or pelvic presentation, at which natural birth is not recommended.
Destruction of uterine fibroids.
It happens that pregnancy, on the contrary, leads to a significant decrease in the size of fibroids, and sometimes to its complete disappearance. This is due to a change in the ratio and concentration of hormones in the blood of a woman during pregnancy. But this process is typical only for small tumors (less than 15-20 mm). And in this case, after the birth process, the cessation of breastfeeding and the resumption of the menstrual cycle, the myoma can again increase. As for the complete destruction of myoma, this phenomenon can not be considered positive. The fact is that this process is associated with the death of tissues, and this often leads to the occurrence of bleeding and inflammation. The cause of the destruction of fibroids may be a violation of her nutrition and an increase in the level of progesterone in the blood. Symptoms of this condition are pain in the lower abdomen, an increase in body temperature and tone of the uterus. More precisely, the diagnosis is helped by ultrasound. Usually in this case, conservative treatment is carried out for one to two weeks. If symptoms persist, the pregnant woman is sent to a hospital.
Myoma and conception of the child.
If a woman regularly visits a gynecologist and knows that she still has fibroids, then the question arises - how to properly prepare for the conception and bearing of a child. In this case, everything will depend on the location and size of the myomatous nodes. If their size does not exceed 2 cm and they are localized in the thickness of the muscular layer of the uterus, then you can plan pregnancy by going through routine examinations. However, if the myoma is large enough or is unsuccessfully located, then it is better to wait with pregnancy, as surgical intervention may be required. The most dangerous are tumors "on the leg," since it is in them that food is most often disturbed, which can serve as a source of inflammatory reactions.
Also increase the risk of miscarriage myomatous nodes located under the mucous membrane of the uterus. Modern methods of surgical treatment of myomas are as gentle as possible. The operation is performed endoscopically, that is, without a cut of the abdominal wall. If the diameter of the nodes is more than 5 centimeters, usually before the operation, preliminary treatment is carried out, allowing to reduce the size of the tumor. After the removal of the tumor, spikes can form and pregnancy can be better planned in three to six months.