[Myomas and pregnancy--obstetrics dilemma of the next decade?].

OBJECTIVES

This article describes the most frequent reasons, complications and appropriate treatment of pregnancy with uterine myomas and pregnancy after the myomectomy.

MATERIALS AND

METHODS

It is the analysis of pregnancies and deliveries of 24 women hospitalised in Medical Academy of Gdańsk.

RESULTS

The typical complications were observed: early pregnancy loss, premature labor, cervical incompetence, abnormal presentation of the fetus, fetal death, periphlebitis and infertility.

CONCLUSIONS

1. Pregnancy connected with myomas is a high risk pregnancy because of a great number of complications. 2. There is a coincidence of myomas and pregnancy in older group of the patients. 3. The indications to cesarean section are connected rather with older age of women than with myomas. 4. Therefore it is proposed to change the indications for myomectomy during the caesarean section. It seems to be safe to join myomectomy with cesarean section because of low number of complications after this operation.