Cic edizioni internazionali
Giornale Italiano di ostetricia e ginecologia

The course and outcomes of pregnancy in patients with hysteromyoma in different treatment methods

Mini-Review, 75 - 81
doi: 10.11138/giog/2017.39.2.075
Tag this article
Abstract
Enhanced HTML Full text PDF
The need to study the effect of uterine arteries (EUA) embolization on fertility is due to the fact that the reproductive behavior of a modern woman supposes planning to become pregnant after the age of 30 and older, when hysteromyoma is observed in every 4 women. This fact requires a search for the best types of organ-saving myoma treatment, with a guarantee of consecutive pregnancy and childbirth. The aim of the study was to compare the course and outcome of pregnancy in women with hysteromyoma after EUA and myomectomy to determine the choice of the most optimal treatment method in women with unrealized motherhood. The course and outcomes of pregnancy and condition of newborns of 147 patients were studied: after EUA (main group) and after myomectomy (comparison group 1), as well as patients with intact myomas (comparison group 2), and women without hysteromyoma (comparison group 3). The material was accumulated retrospectively by examining the medical documentation: medical records, notification cards of pregnant and maternity women, birth records and records of infant development. It was found that women treated by myomectomy and EUA had differences in the nature of complications during pregnancy, the course of puerperal period, method of delivery. The risks for subsequent pregnancies were more real in patients after myomectomy due to myoma recurrence in 50% of cases during pregnancy, scars on the uterus (after myomectomy and cesarean). No new knots, growth and vascularization of the existing myoma were observed after EUA, which makes it possible to regard EUA as the method of choice, especially in cases of motherhood not finally realized.

Vol. XLI (No. 1) 2019 Gennaio - Marzo

  1. First trimester screening for preeclampsia
    Fichera N., Maugeri G.C., Leanza G., Leanza V., Palumbo M.
  2. Ultrasonic assessment of gestational age by measurement of fetal kidney length in third trimester
    Mahale N.A., Devi A., Mahale A., Ullal S., Fernandes M., Prabhu S.
  3. Expressions of CD 56 + CD 16 + peripheral natural killer (pNK) cells in early idiopathic recurrent miscarriage
    Lintang L.S., Siregar M.F.G
  4. The role of placental growth factor, soluble-Fms-like tyrosine kinase-1 and diastolic notch uterine artery to predict the early onset of preeclampsia
    Lubis M.P., Hariman H., Lumbanraja S.N., Bachtiar A.
  5. A risk-stratified approach to labour and delivery in HIV-infected women in a large tertiary Hospital in the North of Italy
    Palmeri A., Gerbaldo D., Riccardi N., Taramasso L., Del Puente F., Ferraioli D., Di Biagio A.
  6. A perineal lesion miming a sexual abuse in a pre-pubertal girl hit by a low speed motor vehicle
    Franceschetto L., Suadoni F., Lancia M., Cirocchi R., Bacci M., Carlini L.
  7. Assessment on fetal renal volume and function in normal and growth restricted fetuses
    Sitepu M., Haryono Roeshadi R., Siddik D., Prasmusinto D.
Last Viewed articles: la lista degli ultimi x visitati.
  1. The course and outcomes of pregnancy in patients with hysteromyoma in different treatment methods
    Gurjeva V.A., Kolyado O.V., Karacheva Y.O.
    doi: 10.11138/giog/2017.39.2.075
credits