Pregnancy is a beautiful time filled with anticipation and joy for every woman. However, it is important for expectant mothers to be aware of the potential gynaecological issues including fibroids, preeclampsia and cervical cancer, etc. that may arise during this special time of your life to ensure a healthy pregnancy and delivery. Being aware of these conditions helps women take necessary steps to have a healthy pregnancy and seek the right medical care if necessary.
Here, we will help you understand the common gynaecological conditions during pregnancy and what you can do to ensure a smooth pregnancy. Uterine fibroids, also known as leiomyomas, are non-cancerous growths of fibrous tissue and muscle inside or outside the womb. The potential impact of fi broids on pregnancy and how pregnancy might affect fibroids are common concerns in clinical settings, especially since these growths are prevalent in women of reproductive age.
Most women with fibroids don’t face complications during pregnancy related to these growths. However, some may experience pain, and there might be a slightly increased risk of obstet ric complications, includ ing early pregnancy loss, preterm labor and birth, fetal malpresentation, and placental abruption. This risk is particularly higher in patients with multiple fibroids, retroplacental fibroids, and those larger than 5 cm. Regular prenatal check-ups and ultrasounds play a crucial role in moni toring fibroids and how they may affect pregnancy. Depending on the severity of symptoms and potential risks, treatment options like medication or other solutions may be considered.
Additionally, hormonal changes during pregnancy increase the likelihood of developing UTIs, impacting the urinary tract. If left un treated, it can cause minor discomfort and potentially lead to more complications. Maintaining good hygiene practices and staying well hydrated can help prevent UTIs. In case you are diagnosed with a UTI, taking the prescribed antibiotics recommended by your gynaecologist can ensure a safe delivery without complications. Preeclampsia, a pregnancy-related high blood pressure disorder can be picked up through regular antenatal checkups. Treatment typically involves rest and monitoring blood pressure. In severe cases, hospitalization may be necessary with the ultimate treatment being delivering the baby.
Cervical cancer is the most diagnosed gynaecological malignancy during pregnancy, with incidence rates varying from 0.1 to 12 per 10,000 pregnancies. This cancer occurs when abnormal cells in the cer vix, the lower part of the uterus, grow uncontrolla bly. Regular Pap smears or cervical screenings are vital for early detection and pre vention. During pregnancy, routine cervical screenings are usually postponed until after childbirth unless there are specific indications for testing. However, essential in expectant mothers with a history of abnormal Pap smears or other risk factors to ensure the wellbeing of mother and baby alike. Dealing with both pregnancy and cancer is a life-changing experience.
Therefore, besides physical well-being, it is also crucial to look at the psychological aspect of their experience as women diagnosed with cancer during pregnancy are extremely vulnerable. Pregnancy is a beautiful journey, but it’s vital to pri oritize your gynecological health to ensure a smooth experience. Though this phase comes with its set of complications, however, maintaining regular com munication with the gyne cologist is key to ensure a safe and healthy pregnancy and delivery. With proper medical guidance and self care, these issues can be effectively treated, providing the mother with a smooth and peaceful pregnancy experience.
The author is the Chairman, OBG Services & Robotic Surgery, Asian Hospital Faridabad