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Re: 38 weeks, 2 previous myomectomiesFrom: Embryo (Embryo@aol.com)Tue Dec 23 16:02:44 1997
Whether the cavity was entered or not, this is a uterus with two prior surgical insults; unless they were clearly pedunculated fibroids, it is much safer to schedule a Caesarean section. Even closely approaching the cavity puts the uterus at risk. It is analogous to deciding whether to allow a VBAC without information on the previous scar. The burden lies with the Ob to prove that the uterus can withstand labor. Scalpel, please. PS: Watch out for those adhesions you may encounter upon opening the peritoneum! Ed Marut, MD Highland Park IVF
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