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Re: Delivery with obstructing fibroid From: zygote@icsi.net Fri Jul 25 09:33:07 2003 Messages sorted by: [ date ][ thread ][ subject ][ author ] Next message: Caitlin Cusack MD: "UK tocolysis" Previous message: zygote@icsi.net: "Re: Labor definition" In reply to: Braun, R. Daniel: "Re: Delivery with obstructing fibroid" Next in thread: David Priver, MD: "Re: Delivery with obstructing fibroid" As always Dan hit the nail on the head! This is a good example to never believe everything a faculty person tells you!!!!! On 25 Jul 2003 at 6:45, Braun, R. Daniel wrote: > Classical section. Stay FAR FAR AWAY from the fibroid. Leave it alone > and it most likely won't bleed. > > Dan > > -----Original Message----- > From: Shannon Burke [mailto:shannon.burke@dhha.org] > Sent: Thursday, July 24, 2003 6:04 PM > To: Multiple recipients of list OB-GYN-L > Subject: Delivery with obstructing fibroid > > We have a primigravid woman at 36 weeks with a 9x11x13 cm fibroid in the > lower uterine segment that fills the pelvis. The infant is above the > fibroid, is growing well and the placenta is fundal. We are planning a > cesarean delivery in IR at 37.4 weeks with embolization if needed for PP > hemorrhage. One of our faculty suggested that instead we attempt a > vaginal delivery. He had a similar case in which a fibroid as large as > this "pulled up" during labor and the patient delivered without any > complications. The difficulty of course, is that if she has a > hemorrhage after a vaginal delivery (if she could deliver) we may or may > not be able to make it to IR and she might have a hysterectomy instead. > Has anyone else had a similar situation? Do you have suggestions for how > the differentiate the case that will deliver vaginally? Any other > thoughts? > Robert J. Carpenter, Jr., M.D. St. Luke's Medical Tower # 2720 6624 Fannin, Houston, TX 77030 zygote@icsi.net 713-795-4600 FAX:713-795-4422 Next message: Caitlin Cusack MD: "UK tocolysis" Previous message: zygote@icsi.net: "Re: Labor definition" In reply to: Braun, R. Daniel: "Re: Delivery with obstructing fibroid" Next in thread: David Priver, MD: "Re: Delivery with obstructing fibroid"

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