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“+ BETTER MATERNITY WHAT RISK DO FIBROIDS CAUSE TO PREGNANCY? It's all about the size and especially the location of fibroids, as to what impact they will have on pregnancy. A large fibroid lying outside the uterus may not impact pregnancy at all. So women should not assume that fibroids will negatively impact a healthy pregnancy; the gynae will need to assess each case. However, if a fibroid is in a tricky location, it could prompt a premature delivery or the need for a C-section. The most serious fibroid complications are if the growth blocks nutrient flow to the growing baby, or causes the amniotic sac to rupture early. Fibroids can also potentially block the birth canal, which can complicate delivery. However, fibroids seldom adversely affect the baby and are mostly an uncomfortable annoyance to the expectant mom. WHEN DO THEY CAUSE THE MOST ISSUES? Problems with fibroids are often during the first and second trimesters. They can cause bleeding and pain, and have been linked to a higher incidence of miscarriage too. If uterine fibroids flare up during pregnancy and cause pain - which is a very common symptom - rest, use heating pads or take pregnancy- safe pain medication to manage the symptoms. Should fibroids grow very fast during pregnancy, symptoms could also include vomiting, nausea, fever and vaginal bleeding. The pain will be over the area of the fibroid and down the back. This is most common in the second trimester, but can manifest at any time. If the uterus starts to contract, and the pain level is very high, hospitalisation may be necessary. CAN A FIBROID BURST DURING PREGNANCY? While this is possible, it is also very rare. When a fibroid bursts, there will be heavy bleeding and severe, sharp abdominal pain in the abdomen or pelvis. Blood pressure will also rise and immediate medical attention is needed for the well-being of both mom and baby. THE BOTTOM LINE... By far, most women with fibroids who fall pregnant have healthy, normal pregnancies with some discomfort at most. However, it’s important to be aware of the symptoms of any potential complications, so they can be treated immediately to keep mom and tot safe. =
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