INFLUENCE OF UTERINE FIBROIDS ON MATERNAL AND FETAL OUTCOMES AT DIR LOWER

Abstract

Uterine fibroids are the most common benign tumors in women of reproductive age and can significantly complicate pregnancy and delivery outcomes. This study aimed to evaluate the clinical characteristics, anatomical distribution, delivery patterns, and maternal complications associated with fibroids during pregnancy. A retrospective analysis was conducted on 112 pregnant women diagnosed with uterine fibroids. Data were collected on fibroid type, location, number, gestational age at delivery, mode of delivery, cesarean section indications, and maternal complications. Subserous fibroids were the most frequent (65.18%), followed by submucous (25.89%) and intramural types (8.93%). The uterine fundus was the most common site of localization (77.68%). More than half of the patients (50.89%) presented with two to three fibroids. Most women delivered at term (37–40 weeks, 75.89%), with cesarean section being the predominant mode of delivery (62.50%). The leading indication for cesarean was premature rupture of membranes (PROM) with a poor Bishop score (21.43%). The most common maternal complications included threatened preterm labor (22.32%), blood transfusion requirement (19.64%), and threatened miscarriage (17.86%). Findings indicate that uterine fibroids substantially affect pregnancy outcomes, increasing the risk of cesarean delivery and maternal morbidity. Early diagnosis, close monitoring, and individualized antenatal care are critical to optimizing maternal and fetal health in affected women.