pregnancy after myomectomey

Posted by Laura  on May 23, 1999 at 15:17:20
I am in my 29th week of a fairly normal pregnancy.  I am 34 now and will be 35 shortly after my baby is born.  In November 1997, I had 3 larger and 5 small fibroid tumors removed from the outside of my uterus.  My doctor thought I should be able to have a vaginal birth without any higher risk than any other woman, however, he indicates there are some new thoughts in the field.  He is suggesting I have a cesearan to reduce the possiblilty of uterine rupture because of the 8 tumors removed.  I'd rather go for a vagnial birth and hope to have a second child in the near future.

Posted by hfhs.md.rcs on May 23, 1999 at 18:54:06
Dear Laura:
You have "precious baby syndrome": your age and history have everyone on tender hooks and a less than perfect outcome will leave everyone second guessing themselves. A cesarean section avoids any risk of uterine rupture in labor. THat risk is very low if the fibroids were all on the outside of the uterus and the uterine cavity was not entered  AND a single incision was placed on the uterus to extract all of the fibroids.
If you had more than one uterine incision or if the uterine cavity was entered, a cesarean section takes away risk. If these risks do not exist, you and your healthcare provider need to talk about your desires to go for a vaginal delivery and the quality of the medical information (randomized study vs someone's opinion) that is driving their recommendation.
Keywords: pregnancy/delivery following myomectomy
This information is provided for education purposes and is not a medical consutlation. If you have specific questions, please speak with your healthcare provider.

[Bibiije]

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