[Conservative procedures in 64 pregnant patients with XXXX : the course of pregnancy, labor, and the puerperium].

@entity6751 @entity1868 @entity3465
During this period, the number of deliveries was 28235. Our results contradict the wide spread opinion concerning the high risk of a pregnancy in a myomatose uterus. In two thirds of the cases, the pregnancies showed a normal course, this applying also to @entity1868 nodes of 8 cm or more dimater. Threat of @entity3465 was ovserved in 11 cases; in two cases @entity3465 did occur. More than nine out of ten pregnancies reached the 38th week of gestation. Spontaneous delivery was twice as frequent as Caesarean section. This, however, does not apply to @entity1868 nodes with diameters of 8 cm or more, in which case the frequency of Caesarean section represented 50%. Puerperium was normal in 47 cases; complications were observed in 13 cases due to retarded uterine retraction. In 2 out of 4 cases with @entity6751 haemorrhage, curettage was performed. Pregnancies in a myomatose uterus are high-risk pregnancies which require close observation. Sonography plays an important role in such cases. One of the authors (D.) proposes high-dose gestagen treatment as a useful therapy when threat of abortion is observed in myomatose uteri. In cases of menacing @entity3465 , hospitalisation and tocolysis are highly recommended.
