Fibroids in Pregnancy

Fibroids in pregnancy usually remain asymptomatic, but may present with pain from fibroid degeneration. Fibroids may increase risk of (1)

• Preterm labor

• Abnormal fetal presentation

• Placenta previa and placental abruption

• Early pregnancy loss or miscarriage

• Postpartum hemorrhage

Rarely, fibroids partially obstruct the vagina.

Preconception evaluation is recommended for women who have very large fibroids or who have fibroids and have had a spontaneous abortion.