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SUMMARY
At this time, the growth of uterine myomas during pregnancy cannot be predicted. Major
complications of pregnancy appear to be related to whether the placenta and the myoma
are in contact. The location and number of myomas, especially in the lower uterine
segment, increases the likelihood of cesarean birth and malpresentation. Frequent
ultrasound evaluations to monitor fetal growth and presentation and the size of the
myoma should be considered in pregnant women with uterine myomas. Surgical resection
of myomas should be reserved for those pregnant women with symptomatic pedunculated
myomas with a small stalk. In those women with a pregnancy complication owing to the
myoma, resection should be considered prior to the next pregnancy.
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Copyright
© 1994 Elsevier B.V. Company. Published by Elsevier Inc. Published by Elsevier Inc. All rights reserved.
