SAFE MOTHERHOOD AND CHALLENGES-FIBROID COMPLICATING PREGNANCY.

Background: Uterine fibroids or leiomyomas are benign smooth muscle tumours of the uterus, found in approximately 20-50% of women of reproductive age and many are asymptomatic. The main objectives of this study were to assess the obstetric outcome in pregnancy with fibroid, its complications and management. Materials and Methods: This was a prospective observational study following confirmed diagnosis of uterine fibroids from ultrasonography with continuing pregnancy. The study conducted over two years pried from January 2022 to December 2023. All demographic information, baseline characteristics, Obstetric outcome-mode of delivery, complications and management and the foetal outcome-abortions, low birth weight, term or preterm, and associated complications and Neonatal intensive care (NICU)admissions. were noted. Results: Out of 6142 antenatal visits, 54 cases were identified with uterine fibroids during pregnancy, incidence being 0.8%. Majority belonged to age group between 25-30 years were about 31 (57%), 32 (59.2%) were primigravida, 18 (33.3%) had BMI more than 25 kg/m2, 8 (14.81%) had spontaneous miscarriages, 46 cases (85%) continued pregnancy, among them 28 (51.8%) underwent Lower segment caesarean section (LSCS), 18(33.27%) vaginal deliveries. 15 (32.6%) had pain abdomen, low birth weight (LBW) seen in 16 (34%) of deliveries. Conclusion: Pregnancy with uterine fibroids associated with various untoward obstetric outcomes. Pre-conceptional counselling, frequent antenatal visits and multidisciplinary team approach for planning delivery in tertiary care centres is essential for safe maternal and foetal outcome. [ABSTRACT FROM AUTHOR]