True/False MCQ · Uterine Fibroids
Concerning fibroids in pregnancy, the following statements are correct:
- ARed degeneration is a recognised complication during pregnancy
- BFibroids can cause malpresentation
- CFibroids increase the risk of postpartum haemorrhage
- DRoutine myomectomy at the time of caesarean section is recommended
- EFibroids can contribute to ineffective uterine activity in labour
Show answers and explanation
- A. True
- B. True
- C. True
- D. False: Routine myomectomy at caesarean section is avoided because of the high risk of haemorrhage.
- E. True
Fibroids in pregnancy
Recognised complications
- Red (carneous) degeneration - painful, from rapid growth outstripping blood supply.
- Malpresentation and obstructed labour from a fibroid occupying the pelvis.
- Miscarriage, premature labour, premature rupture of membranes.
- Ineffective uterine activity in labour and increased operative deliveries.
- Postpartum haemorrhage and rarely uterine inversion.
Myomectomy at caesarean
Routine myomectomy at caesarean section is avoided because of the high risk of torrential haemorrhage from the vascular gravid uterus. It is generally not recommended.
Why A is true
Red degeneration is the classic pregnancy complication.
Why B is true
Fibroids can cause malpresentation.
Why C is true
Fibroids increase PPH risk.
Why D is false
Routine myomectomy at caesarean is avoided due to bleeding risk.
Why E is true
Fibroids can cause ineffective uterine activity in labour.
Practise every Obstetrics & Gynaecology topic
This is a free sample. Sign up for the full bank of flashcards and exam-style questions on a spaced-repetition schedule, with 20 free stars a day.