Strategic Regimen in the Management of Uterine Fibroid and It’s Complications on Women in Abia State, Nigeria

Uterine fibroid poses a lot of threat to women even in pregnancy presenting with lower abdomen pain and excessive menstruation, bearing down sensation in the pelvis, infertility, vomiting, fever, and leucocytosis. Before the treatment of uterine fibroid commences, a diagnosis must be made.

Objective: To ascertain various management and post operation complications in uterine fibroid on women in Nigerian Christian Hospital Nlagu.

Methodology: A total of 60 participants were included and recruited in the study particularly with women who had their operation done in the same hospital. The files of the women were monitored from time of admission till discharge.

Results: The study showed that surgery is the most common method of treatment of uterine fibroid. Out of the total respondents, 69% of the patients had myomectomy, 30% of the patient had total abdominal hysterectomy with or without salpingo-oophorectomy while 1% had vaginal hysterectomy. None of the patients opted for the use of drugs, this could be due to the fact that surgical treatment is the most effective method for the management of uterine fibroid. Since the p-value = 1.000 is greater than the 0.05 level of significance, we accept H1, and concluded that, the treatment option for uterine fibroid is not significant.

Conclusion: The most common treatment method for uterine fibroid is myomectomy and the preference for myomectomy is largely due to the strong reproductive desire of women and the need to keep their fertility after surgery.