Uterine fibroids can cause all the following EXCEPT:

IGNOU PB Bsc Entrance-2023

Obstetrics & Gynaecology

Hard

Appeared in: IGNOU PB Bsc Entrance-2023

Explanation

Degeneration is a process that happens to the fibroid itself, not a complication caused by the fibroid on the pregnancy or fetus.
During pregnancy, a fibroid can outgrow its blood supply, leading to a painful condition for the mother known as red degeneration.
While red degeneration is a pregnancy-related event concerning a fibroid, it is a change within the tumor, distinguishing it from complications like abortion or premature labor which are effects of the fibroid on the pregnancy.

Option A: This is a known complication. Fibroids, particularly those located just under the uterine lining (submucosal), can interfere with embryo implantation and placental blood flow, increasing the risk of miscarriage (abortion).
Option B: This is a known complication. Large fibroids can stretch the uterus and cause irritability, which can trigger preterm contractions and lead to premature labour.
Option C: This is a known complication. Fibroids can distort the internal shape of the uterus, preventing the fetus from moving into the normal head-down position for birth, resulting in malpresentation (e.g., breech or transverse lie).

Clinical Relevance

Nursing practice connection: This is primarily an exam-oriented knowledge point with limited direct bedside application, so retain Complications of uterine fibroids during pregnancy as background academic context rather than a clinical decision trigger.
Nurses must closely monitor pregnant patients with known fibroids for signs of preterm labor (regular contractions), vaginal bleeding, and fetal malpresentation in the third trimester.
A key nursing role is managing acute abdominal pain, which may indicate red degeneration. This involves providing analgesia (as prescribed and safe for pregnancy), hydration, and reassurance.
Patient education is crucial. The nurse should explain the potential risks and the importance of reporting any new or worsening symptoms immediately.

How to Approach the Question

First, identify the keyword "EXCEPT." This tells you that three of the options are true complications of uterine fibroids, and one is not.
Your task is to find the option that is the outlier or the false statement in this context.
Evaluate each option by asking: 'Is this a complication caused by a uterine fibroid during pregnancy?'
Consider Option A (Abortion): Yes, fibroids can interfere with implantation, causing abortion.
Consider Option B (Premature labour): Yes, fibroids can irritate the uterus, causing premature labor.
Consider Option C (Malpresentation): Yes, fibroids can block the baby's path, causing malpresentation.

Concept Tested & Keywords

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E6 Midwifery Obstetrics and Gynecology Nursing Sandeep Kaur p. 67-81