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Advertisement BMC Pregnancy and Childbirthvolume 20, Article number: 222 (2020) Cite this article 9700 Accesses 4 Citations Metrics details Twin pregnancies with uterine fibroid(s) (UFs) may not be at increased risk for obstetric complications compared to those without UFs. However, there was no reported comparison study with obstetric outcomes and complications of twin pregnancy after myomectomy. We aimed to compare the pregnancy outcomes in twin pregnancies with or without uterine fibroid(s), and also compared in patients with previous myomectomy history in Korean women. A cohort of twin pregnancies delivered in a single institution between January 2011 and March 2019 were retrospectively analyzed. UFs group was defined by the presence of UFs during pregnancy (≥1 fibroid, measuring ≥2 cm or multiple fibroids regardless of the size). Previous myomectomy group included patients with history of abdominal or laparoscopic or hysteroscopic myomectomy of ≥1 fibroid, measuring ≥2 cm or multiple fibroids whatever the size. Patients with monochorionic monoamniotic twins, myoma less than 2 cm in size, missed abortion or intrauterine fetal death (IUFD) of one fetus before 14 weeks, history of previous conization, and uterine anomalies were excluded. Pregnancy outcomes and obstetric complications were compared. A total 1388 patients were included in this study, 191 (13.8%) had UFs and 89 (6.4%) had a history of myomectomy. Maternal age was younger in non-UFs group and primiparity was more common in UFs group (p < 0.001, and p = 0.019). No significant differences were found in the gestational age at delivery (p = 0.657), delivery before 37 weeks (p = 0.662), delivery before 34 weeks (p = 0.340), and sum of birth weight of twin (p = 0.307). There were also no statistical differences in rates of obstetrical complications, such as preeclampsia, gestational diabetes mellitus, placenta previa, placenta abruption, cerclage, small for gestational age, IUFD, postpartum hemorrhage and peripartum transfusion or ICU care. These obstetrical outcomes and complications showed no statistical differences between UFs group and previous myomectomy group. In patients with twin pregnancies, the presence of UFs or history of previous myomectomy did not relate to negative effects on pregnancy outcomes and obstetrical complications. Peer Review reports Uterine fibroid(s) (UFs) are the most common benign reproductive tumors in women, and affect 20–50% of women of reproductive age [1, 2]. UFs have been shown to be associated with obstetric complications such as preterm birth, preterm premature rupture of the membranes (PPROM), intrauterine growth restriction (IUGR), and preeclampsia in singleton pregnancies [3, 4]. However, how UFs could negatively impact pregnancy course remains poorly understood. Recently, Girault et al. argued that presence of UFs or a history of myomectomy may impair the uteroplacental interface, and consequently increase the risk of spontaneous preterm birth and vascular pathologies in singleton pregnancy [4]. Epidemiological risk factors for the development of UFs include age in premenopausal years, early age at menarche, African ancestry, obesity, and infertility [5]. Interestingly, prevalence of UFs has been shown to be lower in multiparous than in nulliparous women, suggesting that parity may be protective against the development of UFs [3, 5, 6]. Given that twin pregnancy is more common among older women, and that twin birth rates have been increasing sharply due to advances in assisted reproductive technology (ART) and the trend of delayed child bearing, it is important to examine the impact of UFs in obstetric outcomes of twin pregnancies, such as preterm labor or delivery, small for gestational age (SGA), placenta abruption, and premature rupture of membranes (PROM) [7,8,9,10]. However, to our knowledge, only two studies have investigated the influence of UFs on twin pregnancies to date [11, 12]. Stout et al. examined hospital records of 2378 twin pregnancies and found that there were no significant differences between women with and without UFs in fetal weight (SGA), preterm delivery at < 34 weeks, PROM, placenta abruption, or intrauterine fetal death (IUFD) [11]. Wang et al. also reported the same results in 153 patients [12]. These results suggest that in contrast to singleton pregnancies, twin pregnancies with UFs may not be at increased risk for obstetric complications compared to those without UFs. However, there has been no reported comparison study with obstetric outcomes and complications of twin pregnancy after myomectomy. Therefore, the objective of this study was to compare the obstetrical outcomes and complication rate in twin pregnancies with or without fibroid(s), and also patients with previous myomectomy history in Korean women. We performed retrospective review of patients who delivered twins in CHA Gangnam Medical Center, which is a university hospital specialized for Obstetrics and Gynecology, between January, 2011 and March, 2019. Inclusion criteria for data analysis were as follows: (1) twin deliveries at ≥22 weeks of gestational age, (2) initially triplet pregnancy reduced to twin pregnancy at the time of delivery due to missed abortion or intra-uterine fetal death (IUFD) or selective abortion of one fetus before 14 weeks, (3) IUFD of one or both fetuses after 14 weeks of pregnancy. During the antenatal ultrasound exams, the presence of UFs of the patients was evaluated and grouped. The UFs group included patients with UFs during pregnancy (≥1 fibroid measuring ≥2 cm, or multiple fibroids regardless of the size). (Group A). In case of the patients with a history of abdominal or laparoscopic or hysteroscopic myomectomy of ≥1 fibroid measuring ≥2 cm or multiple fibroids regardless of the size were grouped as the previous myomectomy group (Group B), regardless of the presence of recurrent fibroid(s). And without UF patients were considered as group C. Exclusion criteria for data analysis were as follows: patients with (1) monochorionic monoamniotic twins, (2) missed abortion or IUFD of one fetus before 14 weeks, (3) single fibroid < 2 cm or previous surgical treatment of < 2 cm fibroid according to the patients’ previous operation records, (4) associated uterine anomalies, (5) previous history of cervical conization, and (6) foreigners because ethnic/racial differences in UFs have been shown in prior studies [13]. All twin pregnancies were managed following a uniform protocol of our medical institute. During the first trimester, we confirmed the gestational age and chorionicity by transvaginal ultrasonography. If the patient first visited our clinic after late 2nd trimester and chorionicity was unclear, we confirmed the chorionicity by pathological examination of the placenta. The study protocol was approved by the Institutional Review Board of CHA Gangnam Medical Center (GCI-19-18); informed consent requirements for the study were waived given its retrospective nature. However, we obtained written consent from two patients who had experienced uterine rupture, described in this study. The following data were extracted from the patients’ medical records: maternal age at delivery, body mass index (BMI) at delivery, parity, previous history of preterm birth, mode of conception, gestational age at delivery, birth weight of newborns, and obstetric complications such as preterm labor, PPROM, pre-eclampsia, gestational diabetes, placenta previa, operation history of cervical cerclage due to incompetent internal os of cervix (IIOC), IUFD over 2nd trimester, small for gestational age (SGA) (defined as neonatal birth weight in the < 10th percentile for gestational age) and adapted from the definition of birth weight percentiles for gestational age presented in standard tables for dichorionic and monochorionic twin pregnancies by Ananth et al. [14], placenta abruption, postpartum hemorrhage (defined as estimated blood loss over 500 ml in vaginal delivery, and estimated blood loss over 1000 ml in cesarean delivery), peripartum transfusion, and peripartum intensive care unit (ICU) admission. The sum of birth weights of twins and weight differences were calculated in patients without IUFD. Vaginal delivery is tried when the 1st fetus is in the vertex presentation and when no other indication of cesarean delivery is met. In cases of patients with a history of myomectomy, vaginal delivery is not prohibited when the removed myoma by laparotomy or laparoscopy had invaded less than half of the myometrium thickness. In cases of hysteroscopic myomectomy, removal of type 0 or 1 submucosal myoma is allowed for future vaginal delivery. When the operational record is not available, we consider cesarean delivery. However, since a considerable part of patients in our clinic are at advanced maternal age and conceive via IVF, most of them tend to choose elective cesarean delivery. Therefore, we excluded delivery mode as a variable. Statistical analyses were performed using SPSS 25.00 (IBM, Armonk, NY, USA). Descriptive data were expressed as mean ± standard deviation, median, and range. Fisher’s exact test or Chi-square test was used for analysis of categorical variables. Quantitative variables were compared by means of Mann-Whitney U test or Kruskal-Wallis test for non-normally distributed measures. A p-value of < 0.05 was considered statistically significant. During the study period, a total of 1357 twin pregnancies met the inclusion criteria. Of those, 191 women (13.8%) were classified as with UFs (Group A), 89 women (6.4%) were into previous myomectomy group (Group B), and the remainder, 1077 (79.4%), as without UFs (Group C). The baseline characteristics of the patients were compared in Table 1. Maternal age at delivery was significantly higher in patients with UFs or previous myomectomy than those without UFs (p < 0.00). There was a significant difference in rate of primiparity (p = 0.019). However, there was no significant differences in maternal BMI, medical history (prepregnancy hypertension or diabetes), previous preterm birth, mode of conception, or chorionicity. In sub-analysis, UFs group and previous myomectomy group showed similar baseline characteristics. Pregnancy outcomes and obstetric complications between those with, without UFs, and previous myomectomy were compared in Table 2. None of the fetal outcomes or obstetric complications showed a significant difference between the three groups, suggesting that UFs or previous myomectomy are not associated with increased obstetric risks in twin pregnancies. In sub-analysis, UFs group and previous myomectomy group showed no statistical differences between variable obstetric complications. Since our study included relatively small sized UFs in Group A (≥2 cm or multiple fibroids regardless of the size) sized UFs, we additionally analyzed the data of pateitns with larger sized UFs. According to Shavell et al. study suggested a 5 cm cut-off in singleton pregnancy [15], in Table 3, we conducted a sub-analysis according to the size of UFs (≥5 cm vs < 5 cm vs no UFs). Similarly to Table 1, maternal age and primiparity showed significant differences between the groups (p < 0.001 and 0.015), but there were no significant differences in pregnancy outcomes and obstetrical complications regarding the size of UFs. During the study period, we experienced two cases of uterine rupture in twin pregnancies. One patient was with a history of laparoscopic myomectomy of 3.5 cm sized deep intramural myoma with endometrial compression and 2.8 cm sized intramural myoma on the posterior corpus. Seven months later, she had conceived twin via thawing-embryo transfer. At 30 + 4 weeks of gestation, she experienced sharp abdominal pain and was diagnosed with preterm labor. She was admitted and tocolytics were administered. At 31 + 4 weeks of gestation, with a sudden deceleration of fetal heart rate on the cardiotocography, the patient underwent emergency cesarean section and about 5 cm sized rupture site was found on the posterior corpus of the uterus. The other patient was with a history of laparoscopic right cornual resection due to right cornual pregnancy. She had conceived via in vitro fertilization (IVF), 2 years after the surgery, and at 31 + 6 weeks of gestation, visited the emergency room due to low abdominal pain. She was diagnosed with preterm labor and tocolytics were administered. However, at 33 + 5 weeks of gestation, the patient complained a sudden severe abdominal pain, and cardiotocography showed fetal deceleration of one fetus, which led to emergency cesarean section and ruptured right cornus of the uterus was confirmed. Our study indicates that twin pregnancies with UFs, even with those of larger sized as more than 5 cm, do not significantly increase the risk for obstetric complications or adverse pregnancy outcomes as compared to those without UFs. Specifically, we did not find any significant differences between twin pregnancies with, without UFs, and previous myomectomy in gestational age at delivery, sum of birth weight of twins, preterm delivery and labor, PPROM, pre-eclampsia, gestational diabetes, placenta previa, IIOC, >2nd trimester IUFD, SGA, placenta abruption, postpartum hemorrhage, peripartum transfusion, or peripartum ICU admission. In singleton pregnancies the most common neonatal morbidity associated with UFs is known to be preterm delivery [16, 17]. However, the rates of preterm delivery (delivery < 37 weeks and < 34 weeks) between twin pregnancies in our three groups of study patients showed no differences, providing a strong evidence that in contrast to singleton pregnancies, UFs is not associated with complications in twin pregnancies. Our results are consistent with the findings from the study by Stout et al. [11]. As Stout et al. examined twin pregnancies in a predominantly white Caucasian, our results suggest that negligible associations between UFs and outcomes of twin pregnancies may be generalized to East Asian women. However, UFs develop earlier, are larger, and more symptomatic in African than in European American women [13]. Thus, our findings may not be generalized to women with African ancestry. Given that twin birth rates are high in Africans, it would be important for future studies to explore the impact of UFs in twin pregnancies in women with African ancestry [18]. The prevalence of UFs found in our study was higher than the rates found in study by Stout et al. [11]. Note that our patients were much older than other samples, and that primiparity was predominant (85%) in our sample, which may be responsible for the high incidence of UFs in our sample, which is consistent with previous studies showing that UFs tends to increase with age [5]. We also confirmed that a history of myomectomy does not affect the complication rates in twin pregnancies. To investigate the impact of myomectomy, we compared those who underwent myomectomy (n = 89), those who did not (n = 191), and those who had no UFs (n = 1077) in baseline characteristics and pregnancy outcomes. As indicated in Table 2, none of the differences between operated and unoperated groups attained statistical significance. Moreover, in our study patients, only 14% of pregnancies were conceived naturally or via timed intercourse with or without ovarian hyperstimulation. Most of the patients were conceived by ART with any reasons. The possibility of UFs and subfertility has been considered in gynecologic field [19]. Pritts et al. suggested that the presence of UFs at any location showed decreased clinical pregnancy, implantation, ongoing pregnancy/live birth rate and increased spontaneous abortion rate in their systematic review [19]. In their sub-analysis by location, subserosal fibroid(s) had no differences on fertility outcomes, and myomectomy did not change these outcomes; intramural fibroid(s) appeared to have decreased fertility and increased pregnancy loss, and myomectomy did not significantly increase the clinical pregnancy and live birth rates; however, submucosal component led to decreased clinical poregnancy and implantation rates, and removal of submucosal fibroid(s) appeared to improve fertility [19]. Especially, in infertile women, submucosal myoma and deep intramural myoma with distorted endometrial cavity are considered to benefit from myomectomy [19, 20]. As a result, the incidence of myomectomy could be increased in older age group due to fibroid associated menorrhagia, pain, compression symptoms and subfertility. Girault et al. suggested that the risk of preterm birth was persisting after myomectomy in singleton pregnancy due to irreversible damage to myometrium, and potential dysregulation of hormone and inflammatory cytokines [4]. However, opposite results are demonstrated in our study: the presence of UFs or previous myomectomy does not add on to the adverse effects on pregnancy outcomes and obstetric complications in case of twin pregnancies. However, considering the two cases of uterine rupture in our study, unnecessary myomectomy should be avoided. In one retrospective review of 19 cases of uterine rupture after laparoscopic myomectomy, the authors recommended multilayered closure of the myometrium and limited use of electrocautery for prevention of uterine rupture [21]. Moreover, during antenatal care of women with scarred uterus, symptoms such as sharp low abdominal pain should be urgently managed with alert, considering the possible occurrence of uterine rupture. It is well known that twin pregnancies carry increased risks for obstetric complications. Especially, early uterine distension is thought to induce preterm labor in women with twin pregnancies [22]. In explaining no significant association between obstetric outcomes and UFs in twin pregnancies, Stout et al. proposed that more frequent check-up, early uterine distension, and planned early delivery in twin pregnancies might have mitigated adverse effects that could be attributable to fibroid tumors detected in singleton pregnancies [11]. A major strength of our study is the inclusion of a large cohort of patients. And this study is the first comparison study with obstetric outcomes and complications of twin pregnancy after myomectomy. However, there are several limitations in our study. First, the diverse characteristics of UFs including location, and numbers were not compared. In Table 3, we proposed that the size of UFs (large with ≥5 cm vs small with < 5 cm, and no UFs) in twin pregnancies is not associated with adverse obstetric outcomes. However, due to the relatively small sample size, we were not able to perform analysis by other characteristics of UFs. In two previous retrospective studies, preterm delivery was more common in multiple fibroids [23, 24]. And in one study, fibroids in the lower part of uterus showed higher cesarean section rate, postpartum hemorrhage, greater estimated blood loss, and higher rates of admission for fibroid related pain [23]. Secondly, we did not evaluate the rate of the first trimester pregnancy loss. Many clinicians and patients have been interested in the UFs affecting the implantation failure and early pregnancy loss in first trimester. According to a systemic review by Klatsky et al., in singleton pregnancies, the presence of UFs itself raised the rate of early pregnancy loss by 2.9 times, and Pritts et al., also reported that it was raised by 1.7 times regardless of the location of UFs [17, 19]. However, we could not evaluate the impact of UFs in the first trimester of twin pregnancies because many of our patients were transferred to our hospital after confirmation of twin pregnancies. Finally, generalizability of the results may be limited because the data were drawn from a single maternity hospital in Seoul, South Korea, and power analysis was not used. Future prospective studies are required to overcome these limitations of the important subject. In conclusion, our study confirmed that in twin pregnancies, the presence of UFs or previous myomectomy is not related to adverse outcomes of pregnancy or obstetric complications. Considering the recent advanced ART and subsequent increase of twin pregnancies, our data could be encouraging to the patients who suffer from infertility with UFs or previous myomectomy and are afraid of conceiving twin pregnancies after ART procedure. For confirmation of these results, additional large-scaled multicenter studies may be required. Data will be available upon reasonable request from the corresponding author. However, the data cannot be made public to maintain women’s privacy and legal reasons as it contains private health information along with identifiers. Uterine fibroid(s) Preterm premature rupture of membranes Intrauterine growth restriction Assisted reproductive technology Premature rupture of membranes Intrauterine fetal death Body mass index Incompetent internal os of cervix Small for gestational age Intensive care unit Catherino WH, Eltoukhi HM, Al-Hendy A. Racial and ethnic differences in the pathogenesis and clinical manifestations of uterine leiomyoma. 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Equally contributed to this paper as the first author Department of Obstetrics and Gynecology, CHA Gangnam Medical Center, CHA University, 566, Nonhyeon-ro, Gangnam-gu, Seoul, 135-081, Republic of Korea Mi-La Kim, Kirim Hong, Sohyun Kim, Min Jin Lee, Sung Shin Shim & Joong Sik Shin College of General Education, Kookmin University, Seoul, Republic of Korea Yoon-Mi Hur Search author on:PubMedGoogle Scholar Search author on:PubMedGoogle Scholar Search author on:PubMedGoogle Scholar Search author on:PubMedGoogle Scholar Search author on:PubMedGoogle Scholar Search author on:PubMedGoogle Scholar Search author on:PubMedGoogle Scholar MLK and KH were involved in the data collection or management, data analysis, manuscript writing/editing. SK was involved in the data collection or management, manuscript editing. MJL and SSS were involved in the statistical analysis. YMH was involved in the protocol/project development and manuscript editing. JSS designed study protocol/project development, supervised manuscript writing and editing. All authors contributed to the interpretation, commented on multiple versions, and approved the final manuscript. Correspondence to Joong Sik Shin. The study protocol was approved by the Institutional Review Board on the CHA Gangnam Medical Center (GCI-19-18). Data were anonymized and de-identified before analysis, and therefore, informed consent was not required and IRB agreed to conduct the study without informed consent from the patients. However, we obtained written informed consent from the two patients who had experienced uterine rupture, described in this manuscript. The two patients who were experienced uterine rupture described in the manuscript granted written informed consent to publish. The all authors did not report any potential conflicts of interest. Springer Nature remains neutral with regard to jurisdictional claims in published maps and institutional affiliations. Open Access This article is licensed under a Creative Commons Attribution 4.0 International License, which permits use, sharing, adaptation, distribution and reproduction in any medium or format, as long as you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons licence, and indicate if changes were made. The images or other third party material in this article are included in the article’s Creative Commons licence, unless indicated otherwise in a credit line to the material. If material is not included in the article’s Creative Commons licence and your intended use is not permitted by statutory regulation or exceeds the permitted use, you will need to obtain permission directly from the copyright holder. To view a copy of this licence, visit http://creativecommons.org/licenses/by/4.0/. The Creative Commons Public Domain Dedication waiver (http://creativecommons.org/publicdomain/zero/1.0/) applies to the data made available in this article, unless otherwise stated in a credit line to the data. Reprints and permissions Kim, ML., Hong, K., Kim, S. et al. Twin pregnancies with uterine fibroids are not at increased risk for obstetric complications: single center cohort study. BMC Pregnancy Childbirth20, 222 (2020). https://doi.org/10.1186/s12884-020-02908-w Download citation Received: Accepted: Published: DOI: https://doi.org/10.1186/s12884-020-02908-w Anyone you share the following link with will be able to read this content: Sorry, a shareable link is not currently available for this article.
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July 4, 2025Jessica gistloverBiography and Celebrity Net Worth0 Mercy Kenneth Okonkwo is a fast-emerging Nigerian actress, singer, and comedienne who began her career as a child star in Nollywood. Born on April 9, 2009, in Lagos State, Mercy grew up in a faith-driven home, guided by her parents, Pastor and Mrs. Kenneth Okonkwo. Though she is not related to veteran actor Kenneth Okonkwo, she humorously refers to herself as his daughter in her skits and videos. Originally from Imo State, Mercy was born and raised in Lagos, where she developed a deep interest in the arts from a young age. Raised in a devout Christian household, she was taught values of discipline, faith, and excellence. She completed her primary education in Lagos, earning her First School Leaving Certificate, and is currently a secondary school student at Hennah Teck International College in Ojo, Lagos, while balancing her academic life with her flourishing acting career. Mercy Kenneth stepped into the limelight as a Nollywood child actress, quickly gaining recognition for her emotional performances, especially in roles where she portrays a mistreated or orphaned child. She is also known for her ability to cry on cue, earning her the playful phrase “she can cry for Africa.” Apart from acting, she is a budding comedian and singer, posting entertaining skits and songs on YouTube and Instagram under the name “Smart Kid.” Mercy’s talent, charisma, and confidence have made her one of the most promising young stars in the industry. Over the years, she has shared the screen with some of Nollywood’s biggest names, including Mercy Johnson, Zubby Michael, Ruth Kadiri, Regina Daniels, Jim Iyke, and Ngozi Ezeonu. Mercy has featured in numerous movies and comedy skits. Some of her notable works include: Although she often refers to herself as Kenneth Okonkwo’s daughter for comic effect, Mercy is not biologically related to the Nollywood star. She is of Igbo descent, though her specific hometown in the southeastern region of Nigeria remains undisclosed. At just 14 years old, she has proven her versatility and passion for acting, excelling in both dramatic roles and comedy. Mercy continues to win the hearts of audiences with her creative content, vibrant personality, and admirable maturity. Mercy Kenneth’s estimated net worth stands at $75,000, a figure that reflects her work in movies, comedy, endorsements, and online content creation. As she continues to grow, her financial and professional value is expected to increase significantly.
Michigan lawmakers are moving forward with a bill to create a state-level crypto reserve, moving House Bill 4087 to a second reading on Thursday and referring it to the Committee on Government Operations. But it wasn’t quite clear what crypto assets can be used for the reserve. It doesn’t name Bitcoin directly and just leaves a broad definition that takes eligible assets as “digital currencies using encryption to regulate issuance and transfers, operating independently of a central bank.” In any case, custody rules are pretty much defined: Assets must be held through either a secure custody system controlled by the state, a qualified custodian such as a bank or trust company, or exchange-traded products from registered investment firms. Moving on, security requirements include exclusive government control of private keys, multiparty authorisation, geographically distributed data centers, regular audits, etc. The bill also allows lending of state-held cryptocurrency for yield generation, provided it does not increase financial risk. Related: Metaplanet Expands Bitcoin Strategy With New US and Japan Subsidiaries The proposal would amend the Michigan Management and Budget Act to let the state treasurer allocate up to 10% of the countercyclical budget and economic stabilisation fund into cryptocurrencies. The move marks one of the few recent developments in U.S. state-level crypto reserve initiatives, an area that has seen limited activity in recent months. Introduced in February by Republican representatives Bryan Posthumus and Ron Robinson, the bill is framed as a “strategic reserve mechanism”. Governments, states, and corporations are adding BTC to balance sheets as part of broader financial strategies. If enacted, Michigan would join Texas, New Hampshire, and Arizona in passing Bitcoin reserve legislation. Of those, only Texas has funded its reserve, committing US$10 million (AU$15.3 million) in June. Related: US Fed Makes First Rate Cut of 2025 – Crypto Reacts with a Shrug José is a journalist and translator with a keen interest in blockchain and cryptocurrencies. Crypto News Australia is brought to you by Swyftx and provides the most relevant Bitcoin, cryptocurrency & blockchain news. Guides
KERALA LOTTERY RESULT SATURDAY 26-04-2025 LIVE: KARUNYA KR lottery is one of the 7 lucky draws held every week. Each Saturday at 3 PM, the Kerala Lottery “KARUNYA KR” lottery draw is conducted. Every lottery has an alphanumeric code to identify it, and the Kerala “KARUNYA KR” lottery code is “KR” because it includes the draw number as well as the code. The first prize winner of lucky draw will receive Bumper 80 Lakh Rupees. Scroll down for the complete winners list of Kerala ‘KARUNYA KR-703’ lucky draw. Trending Photos Kerala Lottery Results Saturday 26-04-2025 LIVE: The Kerala Lottery Department, on behalf of the state government, will announce the results for the Karunya KR-703 draw today, April 26, 2025. The lucky draw will take place at Gorky Bhavan, near Bakery Junction in Thiruvananthapuram. This week’s Karunya KR-703 lottery includes 12 series, with the series being subject to change each week. A total of 1.08 crore tickets are available for sale weekly, and ticket prices may vary. Check the Karunya KR-703 lottery results here to find out if you are the winner of the ₹80 lakh first prize. Stay tuned for live updates on the Kerala Karunya KR-703 draw results.
Kerala Lottery Result 26-04-2025 Apr: FULL LIST OF WINNING NUMBERS FOR KARUNYA KR-703 Draw
LUCKY NUMBER FOR 1ST PRIZE OF RS 80 LAKHS IS: KS 327499
KERALA LOTTERY RESULT 26-04-2025 April TODAY: KARUNYA KR-703 LOTTERY PRIZE DETAILS
1st Prize: Rs 80 Lakhs 2nd Prize: Rs. 5 lakhs 3rd Prize: Rs. 1 Lakh 4th Prize: Rs. 5,000 5th Prize: Rs. 2,000 6th Prize: Rs. 1,000 7th Prize: Rs. 500 8th Prize: Rs. 100 Consolation Prize: Rs. 8,000 (NOTE: Lottery can be addictive and should be played responsibly. The data provided on this page is for informational purposes only and should not be construed as advice or encouragement. Zee News does not promote the lottery in any way.)
Stay Tuned To Zee News For Live And Latest Updates On Kerala Lottery Result 2025
Prize winners should check their winning numbers against the results published in the Kerala Government Gazette. To claim their prizes, they must submit the winning tickets within 30 days. – 2nd Prize Rs.5,00,000/- [5 Lakhs] – KX 829888
– 1st Prize Rs.80,00,000/- [80 Lakhs] – KS 327499
A ticket with multiple security features can prevent claims if damaged. So keep the ticket safe. Those who won the prize less than Rs.5000 should approach any lottery shop in Kerala with the ticket to collect the amount. If the prize is more than 5000 then the ticket and identity documents should be brought to any bank or government lottery office. A ticket with multiple security features can prevent claims if damaged. So keep the ticket safe. Those who won the prize less than Rs.5000 should approach any lottery shop in Kerala with the ticket to collect the amount. If the prize is more than 5000 then the ticket and identity documents should be brought to any bank or government lottery office.
The Akshaya Lottery is held on Sunday, the Win-Win Lottery is held on Monday, the Sthree Sakthi Lottery is held on Tuesday, the Fifty-Fifty Lottery is held on Wednesday, the Karunya Plus Lottery is held on Thursday, the Nirmal Lottery is held on Friday, and the Karunya Lottery is held on Saturday. Unfortunately, the government temporarily halted the sale of the Pournami lottery and introduced a new programme in the Monthly Lottery called Bhagyamithra Lottery. Live updates for the Kerala lottery results will start to appear from 3.05 pm on ZEE NEWS ENGLISH site. The Government of Kerala’s Lotteries Department manages the prestigious national lottery game known as the Kerala Lottery, which is conducted in a legal manner. For this, the Kerala State Government established a distinct lottery department. The Lotteries Department is the only entity in charge of all lottery-related activities. One of the country’s most established lotto games is the Kerala Lotto. When the lottery first began, each ticket only cost one rupee, and the top reward was fixed at Rs. 50000. A few fortunate candidates are offered the chance to win the prize money each day. There will be a 30 percent tax deduction from the amount you have won. You have to pay 10 percent amount as the commission of the agent. These are the amount that will be deducted from your prize. Stay tuned for live updates on the Kerala Lottery Result for April 26, 2025. It’s crucial to note that online purchasing of Kerala lottery tickets is prohibited, carrying potential legal consequences. Engaging in such practices may lead to penalties imposed by legal authorities, as the state government strictly prohibits online selling and purchasing of lottery tickets. The Kerala Lottery Result for Karunya KR 703 is set to be drawn today. The public can view the Winning Number post at 2.55 pm during the live broadcast of Kerala Lottery Today. The announcement for the Kerala Lotteries Result today, dated April 26, 2025, is expected to follow shortly. Stay informed on all the latest news, real-time breaking news updates, and follow all the important headlines in india news andworld News on Zee News. Thank you
As Bitcoin continues to consolidate above $118,000, some altcoins are showing strong technical structures and investors are increasingly interested. This article will analyze the short-term and medium-term price trends of XRP, Pi Coin and Dogecoin for your reference. And introduce HashJ cloud mining, which provides low-risk passive income solutions for cryptocurrency holders for XRP mining, Pi Coin mining and Dogecoin mining. CCurrent price: about $3.37 Intraday range: low of $3.00, strong momentum, expected to break through $3.50 Key resistance: $3.30 – $4.50 Medium-term forecast: Ripple’s expanding global payment network and the improvement of the US regulatory environment will continue to boost XRP’s market sentiment. BraveNewCoin analysts predict that by the end of this year, the price of XRP may be as high as $5-6. Investor insight: In addition to trading, many XRP holders are now exploring XRP mining through cloud services to obtain passive income. HashJ cloud mining provides new users with $18 cash support + $100 free computing power, which can be used for BTC, DODE or XRP mining, allowing users to enjoy daily passive income without worrying about hardware, configuration or trading pressure. Current price: about $0.442 Market value: about $3.4 billion 24-hour trading volume: $82 million to $107 million (Data source: Binance, Gate.io) Vision: Most exchanges are still restricting Pi withdrawals, but the mainnet ecosystem of Pi Network is developing steadily. The Stanford-led team and strict KYC process have boosted the confidence of retail investors. 2025 forecast: The average price of Pi this year will be around $0.4417. If the bull market resumes, the price may rise to $0.55 to $0.70. Actual use case: Although traditional Pi coin mining began on mobile devices, users are looking for auxiliary ways to increase Pi-related income. A large number of early Pi miners are reallocating their earnings to DOGE or XPR cloud contracts on HashJ. Driven by artificial intelligence, with daily compounding, idle cryptocurrencies can be transformed into efficient and scalable daily passive income. Current price: ~$0.208 Recent high: $0.220 Support: $0.200 – $0.210 Short-term trend: If Dogecoin (DOGE) stays above $0.20, it may soon test $0.25, with an upside price target of $0.33 to $0.50 in the second half of 2025. Long-term potential: Changelly: Dogecoin (DOGE) price may exceed $0.60 in the fourth quarter of 2025 Coinpedia: Driven by infrastructure construction and community development, Dogecoin (DOGE) price may approach $1.00 Mining alternatives: Traditional Dogecoin mining using GPU/ASIC equipment is expensive and consumes a lot of electricity. With Hashj Dogecoin cloud mining contracts, you can easily start your Dogecoin mining journey – just sign up to get $100 Dogecoin hashrate and $18, a total of $118 in rewards. Dogecoin mining rewards are automatically distributed every day, and you can choose to reinvest or withdraw the earnings, which is very convenient. Coin | Current Price | Year-End Target | Strategy Suggestion ——-|—————-|——————|———————- XRP | $3.37 | $5–$6 | Hold XRP, explore XRP mining via hashj cloud platforms PI | $0.442 | $0.55–$0.70 | Monitor mainnet growth, convert mobile Pi Coin mining gains into cloud yield DOGE | $0.208 | $0.33–$0.50 | Accumulate on dips, leverage Dogecoin mining daily — HashJ is the world’s leading cloud mining platform, supporting cryptocurrencies such as BTC, ETH, SOL, DOGE and XRP. Signup Bonus: New users get $18 cash + $100 hashrate instantly. AI Optimization: Smart configuration and renewable energy can improve long-term ROI. Daily Income: Automatic compounding and reinvestment options can enhance your cryptocurrency daily passive income strategy.
Visit hashj.com to register and claim your bonus – $118 in welcome bonus. Start mining XRP, Pi Coin or Dogecoin in one click with no technical setup required. Disclaimer: The information provided in this press release does not constitute an investment solicitation, nor does it constitute investment advice, financial advice, or trading recommendations. Cryptocurrency mining and staking involve risks and the possibility of losing funds. It is strongly recommended that you perform due diligence before investing or trading in cryptocurrencies and securities, including consulting a professional financial advisor.
