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https://womenshealthtoday.wordpress.com/2016/07/15/delivery-after-myomectomy/
Jul 15, 2016 · The mode of delivery following myomectomy is controversial. Though the risk for uterine rupture is low (less than 1%) following a myomectomy, regardless of the technique used, the evidence is not robust.
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.sciencedirect.com/science/article/pii/S0146000511000954
Of 24,739 primary cesareans performed during a 2-year period in the MFMU Cesarean Registry, 222 (0.9%) had previous myomectomy as the recorded indication. The mean gestational age at delivery was 37.1 weeks, with the greatest proportion (nearly 35%) undergoing delivery between 38 …Author: Mark B. Landon, Courtney D. Lynch
https://obgyn.onlinelibrary.wiley.com/doi/full/10.1111/aogs.12920
Trial of labor after myomectomy was defined as all pregnant women, who after prior myomectomy, experienced a trial of labor, both successful (vaginal delivery) or failed (cesarean delivery). This included preterm, term labor, spontaneous and induced labor.Author: Zita Gambacorti-Passerini, Alexis C. Gimovsky, Anna Locatelli, Vincenzo Berghella
https://www.ncbi.nlm.nih.gov/pubmed/21962624
Previous uterine surgery, including previous cesarean delivery or myomectomy, is an established risk factor, although the exact magnitude of the associated risk remains uncertain. We reviewed the literature related to uterine rupture after previous cesarean delivery with classical incision or myomectomy in an attempt to quantify outcomes associated with various management strategies.Author: Mark B. Landon, Courtney D. Lynch
https://www.researchgate.net/publication/51684696_Optimal_Timing_and_Mode_of_Delivery_After_Cesarean_with_Previous_Classical_Incision_or_Myomectomy_A_Review_of_the_Data
Uterine rupture is an obstetrical emergency that can be catastrophic for the mother and fetus. Previous uterine surgery, including previous cesarean delivery or myomectomy, is an established risk factor, although the exact magnitude of the associated risk remains uncertain.
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