Document Detail

Fertility and obstetric outcome after caesarean myomectomy.
MedLine Citation:
PMID:  19065366     Owner:  NLM     Status:  MEDLINE    
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.
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    
Ahmadu Bello University Teaching Hospital, Kaduna, Kaduna State, Nigeria.
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MeSH Terms
Cesarean Section*
Labor Presentation
Leiomyoma / complications,  surgery*
Middle Aged
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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