My wife is 20 weeks pregnant, and she has a small myoma. Can she deliver the child safely?

Hello,

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I have seen the ultrasound report (attachment removed to protect patient identity).

Myoma or fibroid are sometimes seen along with pregnancy. It is very tricky how myoma reacts with the pregnancy. The thing is that the chances of it increasing in size during pregnancy are high, and sometimes it may cause pain. And very rarely, abortion can happen due to severe pain. But, some patients have uninterrupted pregnancy and do not have any symptoms due to myoma. So, it will depend on the size, position, and its blood supply. You need to continue all medication regularly and take adequate rest.

Myoma is on the anterior side, which means it is on the front. If it is lower, then it can interrupt the normal delivery process. But, there are chances of normal delivery also. And the mother and baby will be fine, and they will not have any problems if everything goes fine. There is a chance of the mother bleeding excessively after delivery. And caesarean also has the risk of more bleeding. Myoma-related indication for a caesarean is only when the myoma comes in between the delivery path, and the birth canal is partially blocked by it. But, c-section is also risky. Regularly consult with your gynecologist and take treatment accordingly. Continue all her tablets. She may require repeated sonography to note the size, position, and dimensions of the myoma and to see the growth of the baby. Take proper rest throughout the pregnancy.