The Exploring Multiparity's Influence on Uterine Fibroid Formation: A Cross Sectional Study

Leiomyomas, commonly known as fibroids, are the most prevalent benign gynecological tumors among premenopausal women, with significant implications for women's health and healthcare costs. The study aimed to investigate the effect of parity on the development of uterine fibroids in women attending Al- Habibia General Hospital, Baghdad Medical City and multiple private clinics in Baghdad. A cross-sectional observational study was conducted from May to July 2024, involving 103 women aged 20 and older. Data were collected through structured interviews and medical record reviews, focusing on demographic and reproductive health characteristics, including parity and the presence of uterine fibroids, confirmed via ultrasound. Among the participants, 53.4% had 2 to 4 children, yet the association between parity and history of myomas was not statistically significant (p ≤ 0.078). A significant correlation was found between pregnancy status and history of myomas (p ≤ 0.012), with 89.1% of nonpregnant participants reporting a history of fibroids. No significant association was identified between the number of abortions and myomas (p ≤ 0.214). This study suggests that higher parity may not protect against the development of fibroids in this population. Additionally, pregnancy status appears to significantly influence the presence of myomas, aligning with existing literature that links fibroids to reduced fertility and adverse pregnancy outcomes. Further research is needed to explore the underlying mechanisms and broader implications of these findings.