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Re: large uterine fibroids and natural laborFrom: ainsron (ainsron@sbcglobal.net)Thu Jun 3 16:03:07 2004
In my experience, fibroids in pregnancy are only a problem with L&D if they are obstructing the birth canal. Ronald E. Ainsworth -----Original Message----- From: ob-gyn-l@obgyn.net [mailto:ob-gyn-l@obgyn.net] On Behalf Of Theresa333@aol.com Sent: Thursday, June 03, 2004 1:40 PM To: Multiple recipients of list OB-GYN-L Subject: large uterine fibroids and natural labor 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
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