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Re: pregnancy and fibroids From: Joanne Bulley, MD (jbulley@cheshire.net) Wed Jul 26 20:46:31 2000 Messages sorted by: [ date ][ thread ][ subject ][ author ] Next message: Braun, R. Daniel: "Re: FRI Incisional Endometriosis" Previous message: DoctorJoe@aol.com: "Re: Maxon suture" In reply to: Diane Petersen: "Maxon suture" Next in thread: art fougner, md: "Re: Conference on Brachial Plexus/Erb's Palsy Prevention and Treatment" Reply: art fougner, md: "Re: Conference on Brachial Plexus/Erb's Palsy Prevention and Treatment" Reply: Dean Huffman: "Re: Scoping out an election in Kansas" The earliest complication of fibroid during pregnancy in my practice was at about 16 weeks I believe. It was the worst antepartum one I have had. She ended up on a PCA pump of Demerol with a continuous rate for low level of narcotic then the PCA bolus as well. After about 10 days her narcotic requirements dropped dramatically. The PCA was removed, she did well on tylenol with codeine, was sent home that day and was off the codeine in under 48 hours. Basically as soon as the active degeneration was complete she needed nothing for pain. She went full term, needed augmentation the second stage (as I recall) and delivered vaginally. Wonderful little boy. Did a myomectomy after the pregnancy. It was still 8 cm after pregnancy involution... We had another woman infarct and infect her fibroid following a C/S around then as well. That was a tough year for fibroids & pregnancy in our practice. At Thu, 27 Jul 2000, Steve & Eryl Raymond wrote: > >A 5cm fibroid is insignificant, especially at the fundus - tell her to >forget it. Whatever happens it won't be due to the fibroid. We have >them 15 cm here going to term without any complications. > >However, there is a small chance of red degeneration - approx 1% - >which will cause pain, inflammation and perhaps a risk of preterm >labour; but that is so rare, and is unlikely to happen this early. >Nothing you can do to prevent that. > >Dr. Steve Raymond >Head of Department of O & G >Empangeni Hospital >Empangeni >SOUTH AFRICA 3880 >Ph:(+27)(035)77721111 -- Joanne Bulley, MD Keene, NH, USA Next message: Braun, R. Daniel: "Re: FRI Incisional Endometriosis" Previous message: DoctorJoe@aol.com: "Re: Maxon suture" In reply to: Diane Petersen: "Maxon suture" Next in thread: art fougner, md: "Re: Conference on Brachial Plexus/Erb's Palsy Prevention and Treatment" Reply: art fougner, md: "Re: Conference on Brachial Plexus/Erb's Palsy Prevention and Treatment" Reply: Dean Huffman: "Re: Scoping out an election in Kansas"

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