Impact Of Fibroma On The Evolution Of Pregnancy On Ultrasound

Also known as myoma or uterine leiomyomas, fibroids are benign tumors of smooth muscle cells, they are the most common gynecological tumors in women of childbearing age. It is not uncommon to encounter pregnancies associated with a fibroid. In general, however, studies agree on the fact that the fibroid and pregnancy association have repercussions on pregnancy, just as pregnancy can also impact the evolution of the fibroid and see complications that can cause the evolution of the pregnancy. The objective of our work was to observe the possible interactions of myomas on the evolution of pregnancy. The descriptive and cross-sectional study conducted at the imaging services of the Exact Medical Center of Garoua and at the Regional Hospital of Garoua was carried out from January 1 to July 4, 2022. The 36
patients considered were pregnant and carriers of fibroids and aged between
21-50 years. For the most part, this cohabitation is tolerated without notable complication. Thus the most represented age group was 31-40 years with a percentage of 58.33%; It can be seen that the occurrence of myoma in pregnant women is not linked to any history of the woman (family, medical or obstetrical, etc.). In 30.56% of cases the fibroid in pregnant women is associated with the adenoma and in 25% of the cases the myoma is diagnosed in primiparous patients. Thus we see that in 55.5% of cases the evolution of pregnancy depends on the number of fibroids; and has a size greater than 8cm, the myoma can impact the evolution of pregnancy; The submucosal
location, i.e. 16.67%, strongly influences the evolution of pregnancy. Thus the location, size and number of the fibroid are the main parameters that can cause growth retardation, miscarriage, threatened abortion or fetal death.