Mode of Delivery in Pregnant Females with Fibroid Uterus Presenting in Spontaneous Labour

Abstract

Objectives: To determine the mode of delivery of obstetric population with uterine fibroids presenting in spontaneous labor. Methods: It was a Descriptive cross sectional study done at Obstetric unit of Arif Memorial teaching Hospital, from June 2019 to May 2020. 50 pregnant patients with uterine fibroids in spontaneous labor were included in the study with 95% confidence level and 5 % margin of error. Results: In our study, 62 % (n=31) patients were between 20-30 years of age with 38 % (n=19) between 31-40 years with Mean age and SD 25.63 ±2.89 years. 68% (n=32) patients were between 34-36 weeks of gestation whereas 32% (n=18) were between 37-39 weeks with Mean gestational age and SD 29.66 ±1.59. 66 % (n=33) patients were Primigravida to Gravida 3 and 34% (n=17) were Gravida4 to Gravida 5. The frequency of emergency caesarean section in patients with uterine fibroids was 58% (n=29) whereas 42 % (n=21) cases with uterine fibroids had normal vaginal delivery. The most frequent indication for emergency cesarean section was labor dystocia i.e. (41.37%). Conclusion: The frequency of emergency caesarean section amongst patients with uterine fibroids presenting in spontaneous labor is high particularly due to labor arrest. The number of fibroids has an impact on mode of delivery in these patients. Therefore each obstetric patient with uterine fibroids, must be evaluated thoroughly for the appropriate mode of delivery in prenatal period.