title: [Myomas and pregnancy--obstetrics dilemma of the next decade?].
abstract: OBJECTIVE
  This article describes the most frequent reasons, complications and appropriate treatment of pregnancy with uterine myomas and pregnancy after the myomectomy.
  
  
  METHODS
  It is the analysis of pregnancies and deliveries of 24 women hospitalised in Medical Academy of Gdańsk.
  
  
  RESULTS
  The typical complications were observed: early pregnancy loss, premature labor, cervical incompetence, abnormal presentation of the fetus, fetal death, periphlebitis and infertility.
  
  
  CONCLUSIONS
  1. Pregnancy connected with myomas is a high risk pregnancy because of a great number of complications. 2. There is a coincidence of myomas and pregnancy in older group of the patients. 3. The indications to cesarean section are connected rather with older age of women than with myomas. 4. Therefore it is proposed to change the indications for myomectomy during the caesarean section. It seems to be safe to join myomectomy with cesarean section because of low number of complications after this operation.
authors.affiliation: I Kliniki Instytutu Połoznictwa i Chorób Kobiecych Akademii Medycznej w Gdańsku.
authors.forename: Karina
authors.initials: K
authors.lastname: Kulikowska-Ciecielag
authors.forename: Andrzej
authors.initials: A
authors.lastname: Płoszyński
authors.forename: Alta
authors.initials: A
authors.lastname: Damdinsuren
authors.forename: Katarzyna
authors.initials: K
authors.lastname: Leszczyńska
authors.forename: Jerzy
authors.initials: J
authors.lastname: Mielnik
mesh_terms: D000328:Adult; D000367:Age Factors; D002585:Cesarean Section; D005260:Female; D006801:Humans; D007889:Leiomyoma / Q000150:complications / Q000175:diagnosis / Q000601:surgery; D007744:Obstetric Labor Complications / Q000209:etiology; D011044:Poland; D011247:Pregnancy; D011252:Pregnancy Complications, Neoplastic / Q000175:diagnosis / Q000601:surgery; D011256:Pregnancy Outcome; D014594:Uterine Neoplasms / Q000150:complications / Q000175:diagnosis / Q000601:surgery