EFFECT OF UTERINE FIBROID ON MODE OF DELIVERY

Introduction: Uterine fibroids are the commonest benign tumors occurring in the female reproductive tract. They occur in 30%–70% of women in their Reproductive age. The fibroids incidence rises as the age increases. Its prevalence in pregnancy is 0.1%–10.7%.In such pregnancies, obstetric complication occur in 10%–30% . Studies show that in such pregnancies delivery occur at an earlier gestational . Fetal malpresentation, placenta previa, intrauterine growth restriction, labor dystocia, placental abruption, cesarean delivery , retained placenta, and postpartum hemorrhage (PPH) are common obs compications occurring in pregnancies with fibroids. Objective: The objective of our study is to determine the frequency of cesarean delivery in pregnancies with uterine fibroids. Materials and Methods: It is a Descriptive type cross sectional study which was carried out in Obstetric and Gynae unit 1 of Lahore General Hospital, Lahore for Six months from 06-08-2015 to 06-02-2016. Sample size of 100 cases was calculated with 95% confidence level, 10% margin of error and taking expected percentage of cesarean section i.e. 40% of cesarean section in patients with uterine fibroid. Results: In our study, 59%(n=59) were between 20-30 years while 41%(n=41) were between 31-40 years of age, mean+sd was calculated as 28.31+5.67 years. Gestational age(in weeks) of the patients was calculated . 64%(n=64) were between 34-36 weeks while 36%(n=36) were between 37-39 weeks, mean+sd was calculated as 36.83+1.75 weeks of gestation. Regarding Parity of the patients, 63%(n=63) were between 1-3 paras and 37%(n=37) were having parity between 4-5. Frequency of cesarean delivery in patients with uterine fibroids performed in 57%(n=57) cases while 43%(n=43) had normal vaginal delivery. Conclusion: The frequency of cesarean delivery is higher among patients with uterine fibroids. So, it is recommended that every patient who present with uterine fibroids, should be sort out for the mode of delivery. However, it is also required that every setup should have their surveillance in order to know the frequency of the problem.