What is a common complication in pregnancy related to leiomyomas (fibroids)?

In the context of pregnancy, fibroids, or leiomyomas, can lead to various complications, and one of the most recognized related issues is the increased likelihood of cesarean delivery. Fibroids can alter the shape and size of the uterine cavity, which can affect the position of the fetus as well as the ability of the uterus to contract effectively during labor.

When fibroids are located within the uterine cavity or at the site of the cervix, they can obstruct the birth canal, making vaginal delivery challenging or impossible. In these cases, a cesarean delivery becomes necessary to ensure the safety of both the mother and the baby.

Moreover, larger or numerous fibroids can sometimes lead to complications such as uterine contractions not progressing normally, increased pain, or uterine rupture in very rare cases, all of which can further necessitate surgical intervention.

While cervical incompetence, preeclampsia, and placental abruption are significant pregnancy complications, they are not directly linked to the presence of fibroids in the same direct manner as the need for cesarean delivery, which is the primary concern when fibroids are present.