Natural birth after abdominal myomectomyThread
Dec 08, 2011 08:46 AM
I was referred to you by a lactation consultant as a source of information related to my previous abdominal myomectomy. I am currently in the second trimester of my pregnancy and have been desperately trying to find evidence to support my desire for a natural birth.
I have been able to find information on natural births after a laparoscopic myomectomy. However, I have not been able to find any information on a natural birth after an abdominal myomectomy.
Can you tell me something about my situation? Or can you refer me to some websites?
I look forward to hearing from you.
Dec 10, 2011 09:31 PM
I have never researched the topic of planned vaginal birth after myomectomy. That being said, I ran a search on PubMed, the (U.S.) National Library of Medicine's website. I limited the search to studies in English published in the last 10 years and found this one and this one and this one (same authors but different population as the first one) and this one turned up when I looked at "related studies" to the first one. However, all of them were studies of laparoscopic myomectomy. The total number of women planning vaginal birth after laparoscopic myomectomy was not huge, but none had a uterine rupture in labor, and the numbers were big enough to show that scar rupture is not unduly frequent. We don't know, though, whether those results would apply to abdominal myomectomy. I wish I could have been more helpful on this point, although in the U.S., at least, it probably wouldn't matter. Few U.S. obs will agree to planned vaginal birth after cesarean, where we do have a great deal of evidence of safety and efficacy, so I would anticipate that even fewer would be willing to take you on.
Dec 19, 2011 10:21 AM
Thanks very much for your reply. You are definitely right that there are very few OBs who would recommend a trial of labour with my condition. I have sought the opinion of 4 OBs so far and they all recommend a c-section.
It is definitely disappointing. However, I do not want to affect my chances of good health and future pregnancies.
I am hoping for the best. Thanks again.
Dec 19, 2011 12:32 PM
If you will be planning a cesarean, I recommend this page on the International Cesarean Awareness Network website to help you plan a family centered experience.
All Times America/New_York
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