Fibroids are non-cancerous abnormal growths that develop in or around the womb (uterus). The growths are made up of muscle and fibrous tissue, and vary in size. Research shows that millions of women across the globe suffer infertility or miscarriage as a result of fibroid.
A surgeon, Dr. Benjamin Olowojebutu, also the Founder, Benjamin Olowojebutu Foundation, a non-governmental organisation, has said managing fibroid in pregnant women will depend on the size and location of the non-cancerous tumor that grows in the womb.
âA big fibroid can cause miscarriage while the small ones can allow the baby grows. A fibroid as big as a pawpaw could be dangerous compared with the one as small as an orange.
The symptoms we see in a pregnant woman with fibroid include severe back pain, abdominal pain, severe waist pain, as well as the urge to urinate frequently. She also has the tendency to sometimes go into premature labour.â
Doctor Olowojebutu added that any pregnant woman who had the tumour must see her doctor more than her counterpart without fibroid because she was carrying an unusual pregnancy. He further stated:
âSuch woman must be given a low dose of folic acid. Although this drug helps to lower the risk of birth defects, it also allows the fibroid to grow, but the low dose will only allow the pregnancy to grow.
The surgeon also said when a fibroid was outside the womb it might not affect the pregnancy like when it grew inside the uterus. Olowojebutu finally said:
âA pregnant woman with fibroid inside of her can have a safe delivery and could go for a surgical operation between six months and a year after delivery to remove the tumor.â
At a news conference earlier this year, the surgeon stated that no drug will shrink fibroids in a woman. The doctor advised women that they should rather visit a doctor and get examined when they suspect that they might have fibroids.
âThere are lots of fallacies and superstitious beliefs around fibroids that you can take medicines to shrink or pass it out from the anus; that is what is killing many women today.
âSome women have been taken herbal drugs for years and instead of shrinking the fibroid, it is getting bigger. We want to create awareness to let people know that there is help for them,â Olowojebutu said.
He said that his foundation was willing to meet the needs of women who could not afford to pay for surgeries. According to him, we are targeting 1,000 women for free surgeries in 2019.
Olowojebutu said that the average cost of surgery was N500,000 in the Mainland and about N1million in the Island, both areas in Lagos State.
âSo, imagine somebody earning N4,000 a month. How long will such person save to be able to pay for surgery. The goal of BOF is to, in the long run, change the healthcare space with love and compassion.
âOur project for 2019 is called âJourney To 1,000 Free Surgeriesâ; our aim is to be able to help 1,000 indigent patients suffering from fibroids, lipoma, breast lumps and hernia.
âWe have started already and we just concluded the Ikorodu outreach where eight fibroid surgeries took place.
âWe are off to Cross River, Imo, Abia, Edo, Rivers and Ondo States from the February 1, â he said.
Olowojebutu said that fibroids were very common in African women and also in Nigeria. He however said that the risk of developing fibroids could be reduced if a woman married early and they have a break from menstruating due to pregnancy.
âWomen who menstruate early, let us say at 10 years old and you are now 35 years old, that is 25 years of bleeding without a break.
âWhen there is no break in your menstrual flow, that is, the longer you are menstruating for, the more time you have to stimulate the oestrogen hormone to produce fibroid.
âWomen who have many babies may not have fibroid, because there is usually a break; one year of pregnancy and another for breastfeeding, which is two years of break.
âSo, the oestrogen hormone cannot stimulate their wombs to grow the fibroids,â he said.
