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Year : 1999  |  Volume : 2  |  Issue : 2  |  Page : 89-92

A retrospective cohort study of pregnancy complications following abdominal myomectomy

1 Department of Obstetrics and Gynaecology. U niversity of Maiduguri Teaching H os pital , Maiduguri, Nigeria
2 Department of Obstetrics and Gynaecology, University College Hospital , Ibadan, Nigeria

Correspondence Address:
J Y Obed
Department of Obstetrics and Gynaecology. U niversity of Maiduguri Teaching H os pital , Maiduguri
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Source of Support: None, Conflict of Interest: None

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The course and antenatal outcome of 496 pregnancies following abdominal pyomectomy between /975 and 1989 was analysed in 412 patients at the University College Hospital, Ibadan Nigeria. The results showed that over % of these patients were aged more than 30 years, either nulligravid or nulliparous or of very low parity. 38% of these patients were admitted for variable periods and 26.7% required prolonged hospitalization for various pregnancy related complaints. Pregnancy were characterised by risks and complications that may be linked to either the myomectomy scar of the surgical process itself These included abortion, ectopic pregnancy, preterm contractions, premature delivery, antepartum haemorrhage and premature rupture of fetal membranes. These complications in some.instances were more then those observed in a control group comprised of patients closely matched in age and parity. Despite the reproductive benefit of myomectomy, pregnancies immediately following a successful myomectomy are still at risk of gynaecological or obstetric complications though at a much reduced degree. majority of these women were elderly and had had a previous history of reproductive failure coupled with the risk of pregnancy complications, it is recommended that these women be closely monitored from the time of conception to birth. In this way complications can be treated before they become serious and multiple

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