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Uterine fibroids, also known as uterineleiomyoma, myoma, fibromyoma, fibroleiomyoma, are benign smooth muscle tumors of the uterus. Most women have no symptoms while others may have painful or heavy periods. . If they push on the bladder a frequent need to urinate may occur. They may also cause pain during sex or lower back pain. A woman can have one uterine fibroid or many of them. Occasionally fibroids may make it difficult to get pregnant although this is uncommon.

Signs and symptoms

Fibroids,particularly when small, may be entirely asymptomatic. Symptoms depend on the location and size of the fibroid. Important symptoms include abnormal uterine bleeding, heavy or painful periods, abdominal discomfort or bloating, painful defecation, back ache, urinary frequency or retention, and in some cases, infertility. There may also be pain during intercourse, depending on the location of the fibroid. During pregnancy they may also be the cause of miscarriage, bleeding, premature labor, or interference with the position of the fetus.

Natural childbirth

Natural childbirth is a philosophy of childbirth that is based on the belief that women who are adequately prepared are innately able to give birth without routine medical interventions. If you want to choose this the preparation starts during you pregnancy. Please refer to the detailed leaflet provided.

Epidural

Epidural anesthesia is the most popular method of pain relief during labor. It is a regional anesthesia that blocks pain in the lower half of the body. It is administered by the anesthetist. You may either make the choice to have an epidural beforehand or may decide anytime during your labor.

Instrumental delivery

Forceps look like two large spoons that are inserted into the vagina and around the baby’s head. The forceps are put into place to gently deliver the baby’s head through the vagina. The rest of the baby is delivered normally.

A vacuum extractor looks like a small suction cup that is placed on the baby’s head to help deliver the baby. A vacuum is created using a pump, and the baby is pulled down the birth canal with the instrument and with the help of the mother’s contractions. The pump can often leave a bruise on the baby’s head, which typically resolves over the first 48 hours.

Cesarean section

A cesarean section, also called a C-section, is a surgical procedure performed if a vaginal delivery is not possible. During this procedure, the baby is delivered through surgical incisions made in the abdomen and the uterus. The anesthesia used is usually spinal anesthesia.

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