I had a myomectamy in March 2009. All of the fibroids removed were outside of the uterus, and at no time was my uterus cut all the way through. One intermuscular fibroid at the top of my utereus was no removed. I became pregnant 3 months later. Unfortunately, that pregancy ended in a premature labor and stillbirth at 23 weeks. My sense of that, is that the baby was not well and ended th pregnancy. Six weeks later, I became pregant again. I am not 24 weeks and both baby and I are healthy, and this pregnancy has been noticeably better and easier. During both pregnancies my fibroids returned . I am 37 years old, and I have been relagated to a high-risk clinic because the birth center would not take me. I am VERY committed to a vaginal birth, but the obstetricians at the clinic are skeptical. We are currently in a "wait and see" attitude, but I fear I will be fighting an uphill battle.
My question is...what REALLY are the risks of vaginal birth after the myomectamy. Is it similar to VBAC? I was told it depends on whether the scarring was up high on my uterus. Would this really matter if my uterus wasn't cut through? Do you know of doctors in Tucson, AZ who might be more open to letting me try a natural vaginal birth? I am not completely opposed to a c-section if, as we get closer to the birth, the baby is having trouble or I don't dialate, etc., but I am frustrated with the attitude of not even being willing to try. Am I just being too stubborn? Are the risks much higher than I understand, or are the doctors just following protocol regarding of my individual situation?