Re: large uterine fibroids and natural labor**Now elective C Sections

From: Garry E. Siegel, M.D. (garrys@mindspring.com)
Thu Jun 3 21:26:11 2004


The lead article in this month's Green is about primary sections on request, termed an elective section. It sights MD characteristics, not patient ones, as the primary determinant of agreeing to that request. Older Obstetricians, and Academic ones were more likely to grant the request, and there may have been another category, but, alas, the article is at the office and I can't remember that much detail since I only scanned it.

Garry

At Thu, 3 Jun 2004, Theresa333@aol.com wrote: >
>I have a 42 year old G3 P2 asking for a primary c section with tubal
>ligation. She's had 2 normal term vaginal deliveries. These fibroids are 7 and 8 cm
>in size and located in the right upper fundus. They appear sub serosal and
>have not affected the growth of the baby or caused bleeding. I have explained
>that I can't remove the fibroids during her C section (as she was hoping).
>I am interested in what this group thinks about:
>
> Do large fibroids increase the risk of uterine rupture on an intact
>myometrium.
> I feel she's a good candidate for a daytime vaginal delivery, any pearls
>of wisdom?
>
>Thanks,
>Theresa Holladay, DO
>Lakeside Women's Health Center
>Ludington, MI
>http://www.doctorholladay.com

--
Garry E. Siegel, M.D.
Private Practice
Roswell, GA




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