Fibroids in Uterus During Pregnancy: Is a C-Section Necessary?

Checkups during pregnancy give you a look into the hidden world in your belly – the uterus. Did you take home the news that you have a “uterine fibroid“ or “uterine myoma”? What are fibroids in uterus, what kind of problems do they pose for the expecting mom during pregnancy or delivery? Let’s look at the risk that comes with delivery and the treatment methods available.

What are fibroids in uterus?

pregnant woman ultrasound scan

If you have uterine fibroids during pregnancy, there is a need to manage them carefully. The number and size of fibroids in the uterus can cause the delivery to become riskier. In serious cases, there will be a need for surgery.

Although the standards used by different hospitals may differ, fibroids that are more than 5 cm in size, or having more than 10 fibroids means that there is a need to monitor one’s condition closely and prevent the fibroids from worsening or increasing in size or number. Surgery can be done to remove fibroids (myomectomy) if one’s condition worsens.

Fibroids in uterus cause miscarriage or a preterm birth?

pregnant woman worry water

Having fibroids during pregnancy is common, and most expecting moms are able to deliver their babies without much of a hiccup. However, there are instances in which the fibroids cause miscarriage or preterm births.

The uterus is of utmost importance to the growth of the fetus, and the presence of fibroids can cause the uterus to harden. This can lead to a preterm birth or a miscarriage (before Week 20) because the uterus contracts even in response to mild stimulations.

The fibroids put pressure on the insides of the uterus and can cause intrauterine growth restriction (IGR). This can lead to abdominal cramps, pain, or bleeding – inform your OB-GYN immediately if you have such symptoms.

Uterine myoma: Complications during labor and delivery

pregnant woman hospital husband labor

A normal birth is one that starts off with contractions. Contractions are indications that the uterus is getting ready for labor, and this will inevitably cause pain.

Uterine fibroids cause contractions to weaken in the area where fibroids are located. This makes labor difficult and means an overall increase in time taken for labor and delivery, putting stress on both the mother and baby although labor-inducing drugs are used.

Do fibroids in uterus mean I have to deliver via a C-section?

woman question

Uterine fibroids don’t mean that you have no choice but to do a C-section. Whether or not a C-section is actually used to deliver the baby depends on whether the baby’s head is engaged and how much the baby has dropped.

If the fibroid is located near the cervix, it can get in the baby’s way when they’re passing through the birth canal. Should this become a potential cause of harm, a C-section will be done for the sakes of the mom and the baby.

As a C-section has its own risks and heavy bleeding is dangerous, or heavy bleeding can occur postpartum (even though there are no uterine contractions), there is a need to be cautious even after the birth.

Fibroids weaken the uterus but don’t let it weaken you!

pregnant woman hospital doctor

Fibroids in uterus, depending on their size and location, are different in terms of how they’re treated, or even classified. If you’ve been told that you have fibroids in uterus, talk to your OB-GYN and find out exactly what kind of risk you’re facing. Follow-up checkups will tell your OB-GYN how you’re doing, and speedy treatment will be administered to you if necessary. So, don’t worry too much and don’t let it weaken your will to see your pregnancy through to the end!