A Ten-year Review of Reproductive Outcome Following Abdominal Myomectomy at the University of Port Harcourt Teaching Hospital

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A Ten-year Review of Reproductive Outcome Following Abdominal Myomectomy at the University of Port Harcourt Teaching Hospital

May 3, 2021 Medical Science 0

Fertility preservation is an essential consideration following an abdominal myomectomy, particularly for patients who are infertile. According to studies, 57 percent of women who have had a myomectomy are able to conceive. The connection between uterine fibroids and infertility is still a mystery.

The aim of this study was to see how women fared after having an abdominal myomectomy.

Methodologies: Between January 1, 2003, and December 31, 2012, all cases of uterine fibroid admitted to the gynaecological ward of the University of Port Harcourt Teaching Hospital were studied retrospectively. SPSS version 20 was used to code and analyse the data.

Results: Uterine fibroid was responsible for 523 (12.2%) of the 4287 gynaecological admissions during the study era. The median age was 33 years and 2 months. Nulliparous women had the highest rate of pregnancy at 43.4 percent. Infertile women in the sample population had a pregnancy rate of 24.4 percent after abdominal myomectomy. Within two years of their abdominal myomectomy, twenty women became pregnant. This accounted for 32.78 percent of the 61 infertile patients who had no other reason for their infertility. Four patients (20%) had unintended abortions, seven (35%) had spontaneous vaginal deliveries, and nine (45%) had elective abortions. Four patients (20%) had spontaneous abortions, seven (35%) had spontaneous vaginal deliveries, and nine (45%) had elective caesarean deliveries.

Infertility is one of the most common reasons why women choose myomectomy. This research, on the other hand, shows that the association between abdominal myomectomy and pregnancy outcome is rational.

Author (s) Details

S. Eli
Mother and Baby Care Global Foundation, Nigeria and Department of Obstetrics and Gynaecology, University of Port Harcourt Teaching Hospital, Nigeria

D. S. Abam
Department of Obstetrics and Gynaecology, University of Port Harcourt Teaching Hospital, Nigeria

D. G. B. Kalio
Department of Obstetrics and Gynaecology, Braithwaite Memorial Specialist Hospital, Nigeria

D. K. O. Pepple
Department of Obstetrics and Gynaecology, Braithwaite Memorial Specialist Hospital, Nigeria

 Nwosu
Department of Obstetrics and Gynaecology, University of Port Harcourt Teaching Hospital, Nigeria

K. Green
Department of Obstetrics and Gynaecology, University of Port Harcourt Teaching Hospital, Nigeria

J. Ikimalo
Department of Obstetrics and Gynaecology, University of Port Harcourt Teaching Hospital, Nigeria

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