Medicine an Surgery notes

Apr 24th, 2015
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Gynecologic TumorsWith PregnancyProf. Dr. Mohamed Samir FouadProfessor OBGYN Al-Azhar UniversityPresident www.arabicobgyn.netLeiomyomaAbout 1% in pregnantwomenIt is formed of fibersand muscle of uterusand can be submucous,interstitial, or subserousFibroid with PregnancyEffect on Pregnancy* Abortion increase with submucous* Incarceration of RVF gravid uterus (posterior wall)* Ectopic pregnancy if pressing on the tube* Preterm labor* Pressure symptoms increase size of uterus above expected dateLarge abdominal tumor may cause abdominal discomfort, dyspnea, palpitationPelvic tumor may increase pressure on bladder, rectum and pelvic veins*Malpresentation* non-engagement of presenting part* Placenta Praevia due to interference with implantation of fertilized ovum in theupper segment* Acute abdomen ...-Red degeneration-torsion of pedunculated subserous fibroid-hemorrhage from ruptured surface veinFibroid with PregnancyEffect on LaborUterine Atony due to mechanical interference with uterinecontractions :- Prolonged labor- retained placenta- Postpartum HemorrhageSubmucous fibroid increase incidence of placenta accreta andretained placentaObstructed labor:- cervical fibroid-subserous fibroid impacted in the pelvis below the presentingpartFibroid with pregnancyEffect on Puerperium* Subinvolution

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