PREGNANCY AFTER CONSERVATIVE MYOMECTOMY OF UTERINE FIBROIDS OF GIANT SIZE (CLINICAL CASE)

Recently, there has been a trend towards a significant increase in uterine tumors, in particular fibroids, in women of reproductive age. Manifestations of uterine fibroids during pregnancy depend on the location and size of the fibroids. Prevention before pregnancy consists of timely treatment of uterine fibroids using organ-preserving medical technologies at the stage of preconception preparation. With the onset of pregnancy, in such patients, the content of sex steroid hormones in the local bloodstream of the uterus changes, the volume of nodes increases due to cellular hyperplasia and hypertrophy, cellular hyperplasia in myomatous nodes is blocked, and the death of myocytes in the central zone of the nodes is accelerated. Up to 75 % of pregnant women with uterine fibroids undergo surgical treatment, including conservative myomectomy. In this category of pregnant women, the frequency of spontaneous abortions and premature births is higher. There have been cases of spontaneous uterine rupture during pregnancy after embolization of the uterine arteries.