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https://womenshealthtoday.wordpress.com/2016/07/15/delivery-after-myomectomy/
Jul 15, 2016 · Due to paucity of robust evidence and given the potentially devastating consequences of uterine rupture, a scheduled delivery at 38 weeks should be offered to women with myomectomy. However, this does not preclude a trial of vaginal delivery after an informed decision.
https://www.mdedge.com/obgyn/article/190860/surgery/dont-push-women-preterm-delivery-after-myomectomy
Dec 11, 2018 · The American College of Obstetricians and Gynecologists lists prior myomectomy as a medically-indicated reason for delivery before 39 weeks. The advice reflects a traditional concern that uterine scars will rupture during labor, with potentially …
https://forums.webmd.com/3/gynecology-exchange/forum/7703
I had a myomectomy but my fibroid was quite a bit larger than yours. My doctor won't even do a vaginal delivery after the extensive surgery he did with the myomectomy. You are …
https://healthjade.net/myomectomy/
A myomectomy can increase certain risks during delivery if you become pregnant. If your surgeon had to make a deep incision in your uterine wall, the doctor who manages your subsequent pregnancy may recommend cesarean delivery (C-section) to avoid …
https://www.ncbi.nlm.nih.gov/pubmed/30396109
RESULTS: 469 women who underwent myomectomy were contacted by phone interview, and 152 pregnancies were achieved after surgery, 96 after LPS and 56 after LPT. A total of 110 pregnancies ended in deliveries at ≥24 weeks. Seventy-three (66.4%) women had trial of labor after myomectomy (TOLAM), while 24 (21.8%) had a planned cesarean delivery (CD).Author: Z.M. Gambacorti-Passerini, C. Penati, A. Carli, F. Accordino, L. Ferrari, V. Berghella, A. Locatelli
https://www.medicaldaily.com/natural-childbirth-possible-after-fibroid-removal-surgery-407143
Dec 23, 2016 · The authors concluded that “vaginal delivery can be accomplished safely without uterine rupture even after [myomectomy], provided that delivery is managed …Author: Elana Glowatz
https://obgyn.onlinelibrary.wiley.com/doi/full/10.1111/aogs.12920
Some women may desire to have a vaginal delivery after prior myomectomy if they are delivering in a setting where this may be possible 8. This presents a clinical challenge to assess whether this complication can be considered an indication for scheduled CD or whether women can be safely counselled for trial of labor.Author: Zita Gambacorti-Passerini, Alexis C. Gimovsky, Anna Locatelli, Vincenzo Berghella
https://www.smfm.org/publications/78-prior-non-lower-segment-uterine-scar-when-to-plan-cesarean-delivery
Prior non-lower segment uterine scar: when to plan cesarean delivery. Women with a prior non-lower uterine segment scar (including classical cesarean scar and myomectomy are at higher risk of uterine rupture in subsequent pregnancies, and late-preterm to early term delivery by repeat cesarean delivery should be planned.
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