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

S ELI, DS ABAM, DGB KALIO, DKO PEPPLE, NWOSU NWOSU, K GREEN, J IKIMALO
2018 Greener Journal of Medical Sciences  
Fertility preservation is one of the important factors to be considered postabdominal myomectomy especially for patients presenting with infertility. Studies have revealed the incidence of achieving pregnancy following myomectomy as 57%. Aim To evaluate the reproductive outcome following abdominal myomectomy. Method The study was a 10-year retrospective study of all the cases of uterine fibroid admitted into the gynaecological ward of the University of Port Harcourt Teaching Hospital between 1
more » ... t January 2003 and 31 st December 2012. Information were coded and analysed using SPSS version 20. Results Uterine fibroid accounted for 523(12.2%)% of the 4287 gynaecological admissions during the period under review. The modal age was 33 years ± 2. Nulliparous women contributed the highestincidence of 43.4%.. Pregnancy rate following abdominal myomectomy for infertile women in the study population was 24.4%. Twenty women achieved pregnancy within 2years post-abdominal myomectomy. This represented 32.78% of the 61 infertile patients without any other cause of infertility. Spontaneous abortion occurred in 4 patients (20%), 7 (35%) achieved spontaneous vaginal delivery while 9 (45%) had elective Spontaneous abortion occurred in 4 patients (20%), 7 (35%) achieved spontaneous vaginal delivery while 9 (45%) had elective caesarean delivery. Conclusion Generally, one of the reasons why women opt for myomectomy is infertility. However, this study shows the relationship between abdominal myomectomy and pregnancy outcome to be fair.
doi:10.15580/gjms.2018.3.061618083 fatcat:bbnhtqgxi5fllmwhtkbka7zqeu