Towards a clinical consensus on the management of pregnancy and birth after laparoscopic and open myomectomy: A survey of obstetricians and gynaecologists.

A A McDougall, S M Strong, A Wonnacott, A Morin, L Y O Tang,R Mallick,F Odejinmi

European journal of obstetrics, gynecology, and reproductive biology(2023)

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摘要
We present a comprehensive survey of clinician opinions on pregnancy post myomectomy demonstrating that the majority of consultant obstetricians and gynaecologists sampled would support vaginal birth post myomectomy; counselling patients in a similar way to VBAC; a standardised myomectomy operation note and enrolment of patients in a future prospective trial. Wide variation in opinion regarding interval to pregnancy post myomectomy has been highlighted. We believe this information will facilitate counselling discussions and empower women with subsequent pregnancies after myomectomy to make an informed decision on mode of birth post myomectomy.
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关键词
Fibroids,High risk pregnancy,Leiomyomata,Minimal access surgery,Myomectomy
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