Document Detail

The impact of leiomyomas on pregnancy.
MedLine Citation:
PMID:  10099748     Owner:  NLM     Status:  MEDLINE    
In this retrospective case control investigation, 51 pregnant patients who were diagnosed by ultrasound with uterine myomas were compared to 102 randomly selected control patients to determine if the ultrasound diagnosis of one or more leiomyoma is associated with increased untoward pregnancy outcomes compared to controls. Women with uterine myomas were older (p = 0.001), more likely to be African American (p = 0.001), and undergo Caesarean delivery (p = 0.03) than controls. However, when women who underwent abdominal delivery for previous myomectomy (n = 5) were excluded from analysis, there was no significant difference in the incidence of Caesarean delivery. Overall, there was no difference in the incidence of obstetric complications between groups even when the data was stratified for large and/or multiple leiomyomas. The discovery of uterine leiomyomas by gestational ultrasound does not appear to place the patient at increased risk for preterm labour, early delivery, or other untoward pregnancy outcomes.
W E Roberts; K S Fulp; J C Morrison; J N Martin
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Publication Detail:
Type:  Journal Article; Research Support, Non-U.S. Gov't    
Journal Detail:
Title:  The Australian & New Zealand journal of obstetrics & gynaecology     Volume:  39     ISSN:  0004-8666     ISO Abbreviation:  Aust N Z J Obstet Gynaecol     Publication Date:  1999 Feb 
Date Detail:
Created Date:  1999-05-20     Completed Date:  1999-05-20     Revised Date:  2009-11-11    
Medline Journal Info:
Nlm Unique ID:  0001027     Medline TA:  Aust N Z J Obstet Gynaecol     Country:  AUSTRALIA    
Other Details:
Languages:  eng     Pagination:  43-7     Citation Subset:  IM    
Department of Obstetrics and Gynecology, University of Mississippi Medical Center, Jackson, United States of America.
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MeSH Terms
Case-Control Studies
Cesarean Section / statistics & numerical data
Disease Progression
Leiomyoma / complications,  ultrasonography*
Maternal Age
Pre-Eclampsia / etiology
Pregnancy Complications, Neoplastic / ultrasonography*
Pregnancy Outcome*
Risk Factors
Ultrasonography, Prenatal*
Uterine Neoplasms / complications,  ultrasonography*
Comment In:
Aust N Z J Obstet Gynaecol. 2001 Nov;41(4):476   [PMID:  11787937 ]

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine

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