Painful fibroids: For pregnant women with painful fibroids, supportive care and administration of acetaminophen as the initial intervention recommended. Short-term use of opioids in standard doses or a course of nonsteroidal anti-inflammatory drugs (NSAIDs) can be given when pain is not controlled by these measures. Pregnancy termination is an elective procedure available for patients who desire it.
Answered 2/24/2016
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Abortion criteria: Abortion criteria are based on the patient making the election of the procedure prior to 16 weeks gestation. Painful fibroids would help a patient to decide for that procedure. Medical necessity is usually an insurance term used to describe whether or not the company will pay for the procedure or not. In this case, fibroids can cause a miscarriage or premature labor during pregnancy.
Answered 11/19/2017
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