Effect of uterine fibroids on fetal growths and neonatal outcomes in twin pregnancies

doi:10.3969/j.issn.1006-7795.2015.04.011

Abstract

Abstract:

Objective To prospectively estimate the effect of fibroids on fetal growths and neonatal outcomes in twin pregnancies. Methods Data of 46 twin pregnancies with fibroids delivered from June 2013 to December 2014 in Beijing Obstetrics and Gynecology Hospital, Capital Medical University who have already established their records were collected. And data were also collected from 63 twin pregnancies without fibroids as matched group. The monitoring parameters of ultrasounds in their early, middle and late pregnancy and neonatal conditions and obstetric outcomes were observed and recorded. Results Twin pregnancies with fibroids were more likely to be of advanced maternal age 〔(35.04±4.24)years vs (31.67±3.56)years, P=0.000〕, higher pre-pregnancy body mass index 〔(21.46±3.69)kg/m² vs (20.77±2.38)kg/m², P=0.009〕 and had lower amniotic fluid volume〔(3.14±0.55)cm vs (3.38±0.55)cm, P=0.001〕 in 11-14 weeks ultrasound compared with twin pregnancies without fibroids. However, other parameters of fetal growths in early, middle and late pregnancy, neonatal conditions and obstetric outcomes had no statistical significance between twin pregnancies with fibroids and those without fibroids. Conclusion Fibroids' effect on fetal growths and neonatal outcomes in twin pregnancies is not obvious. But twin pregnancy is a high risk factor for pregnancy and we should give more monitoring and management for twin pregnancy with fibroids, so that mothers and newborns get more reasonable and secure treatment.

Key words: fibroids, twin pregnancy, growth, newborns

CLC Number:

R711.74

Wang Hongmei, Dai Yinmei, Tian Yucui, Xue Zhifang. Effect of uterine fibroids on fetal growths and neonatal outcomes in twin pregnancies[J]. Journal of Capital Medical University, 2015, 36(4): 573-577.

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URL: https://journal03.magtech.org.cn/Jweb_sdykdxxb/EN/10.3969/j.issn.1006-7795.2015.04.011

https://journal03.magtech.org.cn/Jweb_sdykdxxb/EN/Y2015/V36/I4/573

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