Delivery in patients with hysteromyoma

Objective of the present article is to define optimal tactics and volume of surgical intervention in patients with hysteromyoma during labor process. Evaluation of possibilities and prospects of conservative methods of myomectomy have been determined. 1000 case histories dated 2009 were analyzed. Patients aged from 22 to 43 were under study. During the research it was revealed that hysteromyoma was mostly prevailed in women aged 30 and older (75%). 5% of them were primipara, 44% — bipara. 57% of pregnant patients were delivered by means of cesarean method. Widening of surgical intervention required 29% of 100 observed patients. Conservative myomectomy was conducted for 27 patients (87%), supracervical hysterectomy — for 2 women (6,4%). Natural delivery by vaginal route was marked in 43% of pregnant women with hysteromyoma; it was not a problem for birth and was first diagnosed in the early postnatal period by means of ultrasonic diagnostics. During analysis of the received data attention should be paid to expediency and promising of delivery of patients by means of cesarean method with following conservative myomectomy; it promotes to preserve childbearing function, their quality of life and consequently improves the demographic situation