Mioma during pregnancy is one of the most common complications of pregnancy. Myoma growth during pregnancy often raises concerns about the occurrence of various disturbances, mstart from abnormal fetal position, premature labor, placental abnormalities, up to miscarriage.
Uterine fibroids or fibroids are benign tumors that grow in the uterus. If they appear during pregnancy, fibroids can cause abdominal pain at the end of the first trimester or early in the second trimester. In addition to pain in the stomach, fibroids during pregnancy can cause symptoms such as fever, nausea and vomiting, and bleeding from the vagina.
Even so, fibroids that appear during pregnancy often do not cause any symptoms. In many cases, its appearance is only realized when pregnant women carry out routine checks with the doctor, especially when the doctor performs an ultrasound examination of the abdomen.
Is Miom Really Getting Bigger saat pregnant?
Until now, the exact cause of the appearance of fibroids is not known. Increased levels of the hormones estrogen, progesterone, human chorionic gonadotropin (HCG), and increased blood flow in the uterus are thought to be the cause of the appearance or increase in size of myomas during pregnancy.
Changes in the size of myomas during pregnancy are still a matter of debate. Some studies say that most fibroids do not increase in size during pregnancy. Myomas that increase in size during pregnancy are generally fibroids measuring more than 5 cm since before pregnancy.
Is Myoma Sufferer? swhen Pregnant Can't Give Birth Normal?
Most pregnant women with uterine fibroids can still have a normal delivery. However, there are some conditions to watch out for, so the delivery may have to be done by cesarean section. Some of these conditions are:
- Myomas are located in the lower uterine segment so that they cover the birth canal.
- Myomas are large and located in the cervix or cervix.
- Myomas are located between the fetal head and cervix.
- Myomas that result in stunted fetal growth.
Caesarean section is performed if the myoma is felt to harm the fetus or cause the failure of normal delivery. In addition to myoma, caesarean section also needs to be done if there is an abnormality in the position of the fetus, for example, the baby's position is transverse or the opening does not progress after some time.
Mioma does have the potential to cause complications in pregnancy. However, there has been no reliable research to see the effect of fibroids on the emergence of complications during pregnancy. Most pregnant women who suffer from fibroids do not have complications during pregnancy, other than the appearance of pain in the stomach.
So, pregnant women who suffer from myoma do not need to worry too much. Keep doing regular pregnancy checkups to the obstetrician at least once a month, in order to prevent and anticipate complications during pregnancy and childbirth.
Written by:
dr. Akbar Novan Dwi Saputra, SpOG(Gynecologist)