Uterine fibroids can vary in size, from small as a pea to as large as a grapefruit, and may pose complications during pregnancy and delivery. The question arises whether women with fibroids can have a normal delivery or if a caesarean section is necessary.
Many women in their childbearing years are affected by uterine fibroids, which tend to become more common as they cross the age of 30. While fibroids are typically non-cancerous, pregnant women often have concerns about the impact of fibroids on pregnancy. Some may wonder if they can opt for a vaginal delivery with fibroids or if a caesarean section is unavoidable.
Understanding Fibroids
Fibroids are benign muscular growths that develop within the uterine wall. They can appear as single tumours or in multiple forms within the uterus, with the potential to grow to significant sizes, explains Obstetrician and Gynaecologist Dr. Nandita Palshetkar.
![pregnant woman pregnant woman](https://images.healthshots.com/healthshots/en/uploads/2022/10/02134524/pregnant-woman-370x207.jpg)
Symptoms of Fibroids
While not all women with fibroids experience symptoms, those who do might face issues like heavy menstrual bleeding, resulting in anaemia, painful periods, pelvic fullness, lower stomach pressure, an enlarged abdomen, frequent urination, pain during intercourse, and lower back discomfort.
Causes of Fibroids
Multiple factors can influence the development of fibroids, with prevalence increasing as women age, particularly in their 30s and 40s. Factors like family history, obesity, and a diet high in red meat and ham can also contribute to the likelihood of fibroids, according to Dr. Palshetkar.
Additionally, pregnancy-related treatment for fibroids may not always be necessary. However, in cases where symptoms like pain or discomfort arise, rest might be recommended as a primary measure. In severe instances, hospitalization might be required for pregnant women with fibroids experiencing symptoms like pain, bleeding, or the risk of preterm labour. While rare, myomectomy, or surgical removal of fibroids, may be considered during pregnancy. Fortunately, fibroids tend to decrease in size post-pregnancy in most cases.
Possibility of Vaginal Delivery with Fibroids
Pregnant women with fibroids can potentially have a vaginal delivery, but the presence of fibroids can increase the likelihood of complications and the need for a caesarean section, notes Obstetrician and Gynaecologist Dr. Varini N. Fibroids may obstruct the route for the baby, necessitating a c-section delivery.
![Pregnant woman Pregnant woman](https://images.healthshots.com/healthshots/en/uploads/2022/06/25150221/pregnant-woman-high-risk-370x207.jpg)
Complications During Childbirth for Women with Fibroids
While many women with fibroids have uncomplicated pregnancies, some may face challenges during childbirth due to the presence of these growths.
Some potential complications include malpresentation, placental abruption, preterm birth, uterine rupture, prolonged or obstructed labour. Regular prenatal appointments are crucial for monitoring the growth of fibroids and the baby to identify and address any potential complications early.