{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,29]],"date-time":"2026-10-29T15:28:33Z","timestamp":1793287713605,"version":"4.5.0"},"reference-count":24,"publisher":"Federa\u00e7\u00e3o das Associa\u00e7\u00f5es de Ginecologia e Obstetr\u00edcia","issue":"09","license":[{"start":{"date-parts":[[2020,9,29]],"date-time":"2020-09-29T00:00:00Z","timestamp":1601337600000},"content-version":"vor","delay-in-days":28,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Rev Bras Ginecol Obstet"],"published-print":{"date-parts":[[2020,9]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:p>\n          Objective\u2003To evaluate the obstetric outcomes of singleton high-risk pregnancies with a small size uterine fibroid.<\/jats:p><jats:p>\n          Methods\u2003This retrospective cohort study was conducted among 172 high-risk pregnant women who were followed-up by a single surgeon between 2016 and 2019. Pregnant women with preconceptionally diagnosed small size (&lt; 5\u2009cm) single uterine fibroids (n\u2009=\u200925) were compared with pregnant women without uterine fibroids (n\u2009=\u2009147) in terms of obstetric outcomes.<\/jats:p><jats:p>\n          Results\u2003There was no statistically significant difference between the groups in terms of adverse pregnancy outcomes. The size of the fibroids was increased in 60% of the cases, and the growth percentage of the fibroids was 25% during pregnancy. Intrapartum and short-term complication was not observed in women who underwent cesarean myomectomy.<\/jats:p><jats:p>\n          Conclusion\u2003Small size uterine fibroids seem to have no adverse effect on pregnancy outcomes even in high-risk pregnancies, and cesarean myomectomy may be safely performed in properly selected cases.<\/jats:p>","DOI":"10.1055\/s-0040-1713913","type":"journal-article","created":{"date-parts":[[2020,9,29]],"date-time":"2020-09-29T22:48:38Z","timestamp":1601419718000},"page":"535-539","source":"Crossref","is-referenced-by-count":11,"title":["The Effect of Small Size Uterine Fibroids on Pregnancy Outcomes in High-risk Pregnancies"],"prefix":"10.61622","volume":"42","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-0629-4401","authenticated-orcid":false,"given":"Murat","family":"Cagan","sequence":"additional","affiliation":[{"name":"Division of Perinatology, Department of Obstetrics and Gynecology, Ankara, Turkey"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-8209-8248","authenticated-orcid":false,"given":"Atakan","family":"Tanacan","sequence":"additional","affiliation":[{"name":"Division of Perinatology, Department of Obstetrics and Gynecology, Ankara, Turkey"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-7413-4939","authenticated-orcid":false,"given":"Hanife Guler","family":"Donmez","sequence":"additional","affiliation":[{"name":"Department of Biology, Hacettepe University, Ankara, Turkey"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-7953-2517","authenticated-orcid":false,"given":"Erdem","family":"Fadiloglu","sequence":"additional","affiliation":[{"name":"Division of Perinatology, Department of Obstetrics and Gynecology, Ankara, Turkey"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-3783-5637","authenticated-orcid":false,"given":"Canan","family":"Unal","sequence":"additional","affiliation":[{"name":"Division of Perinatology, Department of Obstetrics and Gynecology, Ankara, Turkey"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-3214-045X","authenticated-orcid":false,"given":"Mehmet Sinan","family":"Beksac","sequence":"additional","affiliation":[{"name":"Division of Perinatology, Department of Obstetrics and Gynecology, Ankara, Turkey"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"47794","published-online":{"date-parts":[[2020,9,29]]},"reference":[{"issue":"03","key":"ref1","doi-asserted-by":"crossref","first-page":"630","DOI":"10.1097\/AOG.0b013e318197bbaf","article-title":"Prevalence of uterine leiomyomas in the first trimester of pregnancy: an ultrasound-screening study","volume":"113","author":"S K Laughlin","year":"2009","journal-title":"Obstet Gynecol"},{"issue":"05","key":"ref2","doi-asserted-by":"crossref","first-page":"1056","DOI":"10.1097\/AOG.0b013e3181f7496d","article-title":"Leiomyomas at routine second-trimester ultrasound examination and adverse obstetric outcomes","volume":"116","author":"M J Stout","year":"2010","journal-title":"Obstet Gynecol"},{"issue":"03","key":"ref3","doi-asserted-by":"crossref","first-page":"179","DOI":"10.1007\/s13304-013-0198-z","article-title":"Management of uterine leiomyomas in pregnancy: review of literature","volume":"65","author":"S G Vitale","year":"2013","journal-title":"Updates Surg"},{"issue":"01","key":"ref4","doi-asserted-by":"crossref","first-page":"119","DOI":"10.1097\/GRF.0000000000000169","article-title":"Are women with uterine fibroids at increased risk for adverse pregnancy outcome?","volume":"59","author":"D Ezzedine","year":"2016","journal-title":"Clin Obstet Gynecol"},{"key":"ref5","first-page":"194","article-title":"Successful myomectomy of a giant myoma during pregnancy","volume":"16","author":"A Yal\u0131nkaya","year":"2010","journal-title":"Gynecol Obstet Reprod Med"},{"issue":"04","key":"ref6","doi-asserted-by":"crossref","first-page":"823","DOI":"10.1007\/s00404-017-4621-4","article-title":"Uterine fibroid size modifications during pregnancy and puerperium: evidence from the first systematic review of literature","volume":"297","author":"A Vitagliano","year":"2018","journal-title":"Arch Gynecol Obstet"},{"key":"ref7","doi-asserted-by":"publisher","first-page":"1212","DOI":"10.1016\/0002-9378(89)90194-4","article-title":"The clinical significance of uterine leiomyomas in pregnancy","volume":"160","author":"J P Rice","year":"1989","journal-title":"Am J Obstet Gynecol"},{"issue":"10","key":"ref8","doi-asserted-by":"crossref","first-page":"511","DOI":"10.7863\/jum.1992.11.10.511","article-title":"Longitudinal evaluation of uterine myoma growth during pregnancy. 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