Document Detail


Fertility and obstetric outcome after caesarean myomectomy.
MedLine Citation:
PMID:  19065366     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
This is a prospective non-randomised study to determine the fertility performance and pregnancy outcome in pregnant females who had caesarean myomectomy at last delivery. A total of 29 females were studied and they had a mean age of 37.3 years. Of these, 22 (75.9%) of the females were para 1 and 25 (86.2%) had had one previous caesarean section. Only six (20.7%) of them had fertility treatment before the attainment of the index pregnancy. The common antenatal complications recorded were abnormal lie/malpresentation (10.3%), placenta praevia (10.3%) and threatened abortion (10.3%); 17 patients were eligible for trial of scar; 13 (44.8%) had successful vaginal birth after caesarean myomectomy, while 16 (55.2%) had repeat caesarean section including a caesarean hysterectomy. Postoperative morbidity was recorded in four (25%) of the 16 patients that had abdominal delivery. There was no maternal or perinatal mortality recorded. The future fertility and or subsequent pregnancy outcome in patients is unaffected by caesarean myomectomy.
Authors:
A G Adesiyun; A Ojabo; A Durosinlorun-Mohammed
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  Journal of obstetrics and gynaecology : the journal of the Institute of Obstetrics and Gynaecology     Volume:  28     ISSN:  1364-6893     ISO Abbreviation:  J Obstet Gynaecol     Publication Date:  2008 Oct 
Date Detail:
Created Date:  2008-12-09     Completed Date:  2009-03-05     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  8309140     Medline TA:  J Obstet Gynaecol     Country:  England    
Other Details:
Languages:  eng     Pagination:  710-2     Citation Subset:  IM    
Affiliation:
Ahmadu Bello University Teaching Hospital, Kaduna, Kaduna State, Nigeria. adebiyi_g@yahoo.com
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MeSH Terms
Descriptor/Qualifier:
Adult
Cesarean Section*
Female
Fertility*
Humans
Labor Presentation
Leiomyoma / complications,  surgery*
Middle Aged
Pregnancy
Pregnancy Complications, Neoplastic / surgery*
Pregnancy Outcome
Prospective Studies
Trial of Labor
Uterine Neoplasms / complications*,  surgery*

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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