The meaning and management of uterine fibroids in pregnancy: a narrative review of the literature

Background and Objective: To evaluate and write a narrative review of the literature about the meaning of uterine leiomyomas and their fate during pregnancy, on the other, to which extent these tumors are capable of affecting pregnancy outcomes. Nowadays, it is commonly accepted that fibroids can cause slight or no increased risk fo bad obstetric outcome. Although decreased uterine distensibility or mechanical obstruction may explain some adverse outcomes, the precise mechanism by which uterine fibroids induce obstetric complications is not clear.