Irregular blood loss in pregnancy

A 36 y/o female presented with complaints of irregular blood loss. She underwent Transcervical resection of the submucosal fibroid twice which was complicated by a perforation, requiring laparoscopy. Now she is found to be 7 weeks pregnant. Ultrasound confirmed the pregnancy and gestational age. In the myometrium, a structure of three centimetres was found suggestive of recurrent tumour. Both ovaries appeared to be normal. Sha had increased inhibine A (177ng/L) and inhibine B (36ng/L). MRI was also done. How will you manage this female?

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Tt her as a high risk pregnancy Progesterone support Duvadilon tab till 34 wks Steroid coverage at 30 wks All routine investigation s Regular usg Termination of pregnancy at 37 wks
She should be put on progesterone support Frequent ante natal visits All investigations routine and THYROID sugar screening Cervical length May require CS at 37 wks
Wait & watch policy to be followed & it can be dealt with during or after delivery.
Pregnant patient (postmyomectomy) is to be given uterine relaxant duvadilan and duphaston to continue pregnancy under antenatal care precautionary. Recurred myoma will be dealt after delivery
ALL PRECAUTION SHOULD B TAKEN FOR SAFE DELIVERY. WATCH FOR COMPLICATIONS.AND MANAGE THEM ACCORDINGLY
Needs conservative approach