Uterine leiomyoma and uterine atony post childbirth: case report

Abstract

The uterine leiomyoma represents the most common benign tumor of the female genital tract (95% of all cases), affecting between 20 and 40% of women during their reproductive life, when the tumors are more frequent, being their incidence from 0.3 to 3.9% of pregnant women. Myoma, depending on factors such as volume and location, may hinder postpartum contraction and uterine retraction. Uterine atony, the main cause of postpartum hemorrhage, may lead, depending on its intensity and the volume of blood lost by the patient, to the need for clinical treatment, and in the most serious cases surgical treatment, presenting as the ultimate and definitive therapeutic resource, puerperal hysterectomy. It is suggested that after the early detection of the leiomyoma in pregnant woman, planning by the medical team and the adoption, in the case of a cesarean delivery, of dieresis that do not directly affect fibroids should be done in an attempt to avoid hemorrhage post childbirth, uterine atony, hysterectomy and, in extreme cases, the maternal death.