Title : Pregnancy and prognosis of patients after microwave ablation of uterine fibroids
Abstract:
Objective: To study the pregnancy and prognosis of patients after microwave ablation (MWA) of uterine fibroids and explore the influence factors on pregnancy.
Methods: A prospective study was conducted on patients who were treated by MWA for uterine fibroids and need fertility from August 2010 to September 2020. The fibroids were ablated with MW under ultrasound guidance percutaneous or transvaginal puncture. fertility desiring was interviewed regularly to assess her pregnancy situation and fertility outcomes. Analyses of successful pregnancy patients were conducted and multiple factors affecting pregnancy after MWA were analyzed.
Results: 154 patients with fertility requirements were successfully followed-up, of which 81 women were enrolled in the study. Among them, there were 45 patients with 50 pregnancies. The pregnancy rate was 55.56% (45/81), and the median conception time was 18 months (1– 60 months). Natural and artificially assisted pregnancy rates were 48.15% (39/81) and 7.41% (6/81), respectively. The number of pregnancies that ended in spontaneous and induced abortion were 11 and 9, respectively. And 25 pregnancies resulted in deliveries, with 1 of patients having two deliveries. Cesarean sections were performed by 76% (19/25) of the Sample Abstract Template gravida, and 24% (6/25) opted for a vaginal delivery. All the 25 newborns survived and were in good health at the end of the follow-up. 1 case had placental abruptions at 26 weeks gestation, while the others had no serious complications during the perinatal period. For UFs patients with fertility requirements, the patient’s age, history of spontaneous abortion and fibroid types are relevant factors affecting pregnancy after MWA.
Conclusions: MWA could be considered a promising treatment for women with UFs and need fertility.
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