WOMENS-HEALTH Messages for May, 1997: Re: More pregnant with fibroids/transverse baby questions

Re: More pregnant with fibroids/transverse baby questions

From: Kelly (anonymous@obgyn.net)
Fri, 23 May 1997 09:34:32 -0500 (CDT)

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At Thu, 22 May 1997, Kristi wrote: >
>I am 34 weeks pregnant, my first, with at least 5 subserousal fibroids.

>I know subserousal fibroids are probably the least troublesome to have.
>My largest at my last ultrasound in March was 6.5 cm. I also know they
>increase my chances of pre-term labor and the possibility of a c-section
>delivery. Does anyone have any actual numbers/statistics on the
>probability of these things happening?

If there is no contact of the placenta with the fibroid, the incidence of preterm labor is close to none; if the placenta overlies a fibroid, the chance is about 14% (per Williams Obstetrics). >
>Also, I can tell by the way the baby moves & where he's punching &
>kicking that he is still lying transverse. This has also been confirmed
>by dr. palpatation. I know there's still quite a bit of time left, but
>what are the chances he'll turn around to a vertex position in time? If
>he doesn't, will that definitely mean a c-section?

Can't give you any good numbers, but it really depends on where the fibroids are -- if there is one, especially a lrge one in the lower uterine segment, the baby will likely stay transverse. You could discuss with yur doctor the possibility of trying to turn the baby to vertex (head first) at 36-37 weeks, but if it stays transverse, you'll need a c-section. >
>Thanks again to the wonderful doctors for their help.
>
>P.S. Dr. Shanahan, you've been busy today! I admire you.

I took a couple of days off so we could go on a little vacation, but my husband is frantically trying to finish the spec house he's building; ergo, I have a little more time. I use this as a break from masking off the house for the painters, caulking the baseboads and whatever other unskilled jobs Jeff finds for me :-)

-- Kelly Shanahan, MD, FACOG S. Lake Tahoe, CA

note: Opinions here are for educational purposes only. This information is not intended to supplant the need for you to consult with your own physician. It cannot take the place of a face to face consultation and examination.

Next message: Kelly: "Re: Fertility Humor"
Previous message: Laurie: "Re: Terminology hysterectomy pathology report"
In reply to: Kristi: "More pregnant with fibroids/transverse baby questions"
Next in thread: Roberta: "Unskilled Labor in a Surgeons Hands"
Reply: Roberta: "Unskilled Labor in a Surgeons Hands"

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