I have two fibroids of about 2 to 2.3 inches. Could that cause preterm labor?

Question

Hello doctor,

I had preterm labor, and my baby was born at 27 weeks, but unfortunately, it had a brain bleed and passed away. I have two fibroids, about 2 to 2.3 inches. Could that cause preterm labor?

Please help.

Answer 1

Hi,

Welcome to icliniq.com.

Preterm labor can be the result of many reasons, like intrauterine infection, cervical incompetence, fetal anomalies, intrauterine growth restriction, high blood pressure, abnormal placentation, trauma, multiple pregnancies, maternal uterine anomaly, pre-labor preterm rupture of membranes, etc.

In pregnancy, if there are not multiple seedling fibroids in a grand multipara with soft and weak tissue texture of the uterus (dangerous for post-delivery bleeding), normally one or two fibroids of 2 to 2.3 inches should reduce in size naturally. Fibroid locations, if it is present at the cervix, can affect labor and can weaken the cervix, leading to preterm labor or middle pedunculated fibroids, which are distorting uterine cavities that can also need myomectomy before conception.

I do not have any idea about the fibroid's locations in your case, but it is better to have a re-scan for size and location and discuss it here or with your treating gynecologist. Some locations and sizes need intervention before pregnancy to have a good outcome. Have 0.4 mg of folic acid daily if you do not have any chronic disease.

Have full treatment of any disease that you and your partner have and discuss its effects on pregnancy and conception. Quit recreational drugs and have recreational activities for both of you. Daily exercise, a healthy nutritious diet, and a balanced BMI (body mass index). After the scan and detailed discussion regarding the fibroid's size and location, you can retry for conception.

I hope this helps.