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Re: Pregnancy fibroidsFrom: fuf@gulf.netSat Nov 29 20:40:38 1997
>Subject: Pregnancy fibroids >Sent: 11/29/97 6:29 AM >Received: 11/29/97 8:47 PM >From: Samir Saidi, sam@saidi.prestel.co.uk >Reply-To: ob-gyn-l@obgyn.net >To: Multiple recipients of list, ob-gyn-l@talk.obgyn.net > >Has anybody got any horror stories, or even success stories about excising >painful peduculated fibroids in pregnancy. > I have never tried, but in a previous e-mail, I did say I came close. Those patients responded to more conservative therapy (corticosteroids, or at least I imagine so). I was once referred a patient who had an attempted myomectomy at 22 weeks. The membranes "hourglassed" through the inscision when the fibroid was removed. The membranes were reduced, the defect was repaired and the patient was sent to our service post operatively. Despite antibiotics and indomethacin, the patient ruptured her membranes and one week later delivered a baby vaginally who expired at 2 days of age (pretty gutsy delivery for a guy who wishes he never heard of the term VBAC). That is my only experience/horror story with myomectomy during pregnancy. Gary Kleinman, M.D. Perinatologist/Geneticist Still in Pensacola for a few days
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