Evaluation of Uterine Fibroid during Pregnancy Using Ultrasonography

Abstract

A leiomyoma is a benign smooth muscle neoplasm that is not premalignant. Uterine myomas co-existing with pregnancy could cause obstetric complications. The aim of this study was to define a diagnostic value of ultrasound examinations for uterine myomas assessment during pregnancy. 68 pregnant women were enrolled in the study, The entire abdomino-pelvic area was scanned in both longitudinal and transverse planes using transducer manipulations to assess fetal viability, presentation, gestational age (GA), and presence, location and size of co-existing myoma. The result of the study revealed that Myoma coexisting with pregnancy was commoner in the older women. Uterine fibroids affect the population of study in the first ten year of marriage duration and it decrease with increased marriage duration. The most dominent anatomical locations of uterine fibroids are intramural (55.8%) ,followed by subserosal (22.6%). Furthermore, Obesity is known to increase the risk of uterine fibroid. Regarding the size of uterine fibroid, there was significant correlation established between the myoma size and GA. Ultrasound scanning plays a central role in diagnosing and monitoring fibroids during pregnancy and in determining the relative position of the fibroids to the placenta. It is equally useful for detecting heterogeneous echo patterns associated with the appearance of pain in pregnancy.