How is red degeneration of fibroids in pregnancy best managed?

Red degeneration of fibroids, particularly in pregnancy, is a phenomenon where fibroids undergo ischemic changes due to the increased vascular supply and hormonal changes associated with pregnancy. This can lead to significant pain and discomfort for the pregnant individual.

The best management approach is to provide analgesia and supportive measures. This approach focuses on alleviating the patient's pain and discomfort while allowing the condition to resolve on its own without intervening with surgery or premature delivery. Most cases of red degeneration are self-limiting, and the goal is to ensure the well-being of both the patient and the fetus during this time.

Surgical intervention is generally not advisable unless there are severe complications, as surgery poses risks to the pregnancy. Immediate delivery of the baby is generally unwarranted unless there are other underlying complications that necessitate such action, as premature delivery can pose significant risks to both the fetus and the mother. Data collection for research does not address the immediate clinical needs of managing red degeneration and would not be an appropriate management strategy in an acute clinical scenario.