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After laparoscopic myomectomy, vaginal delivery can be safe.(Obstetrics)
Vaginal delivery after laparoscopic myomectomy can be accomplished safely without uterine rupture by using management protocols that are similar to those used for vaginal birth after cesarean section, reported Jun Kumakiri, M.D., and his associates at Juntendo University, Tokyo.
In a study of 108 women who wanted to become pregnant after undergoing laparoscopic myomectomy (LM) and were followed for at least 6 months, 40 spontaneous pregnancies and 7 pregnancies by assisted-reproductive technology occurred in 40 women over a 4-year period.
Using Cox regression analysis, the investigators found that pregnancy after LM was positively associated with the diameter of the largest myoma (odds ratio [OR] 1.06) and negatively associated with the patient's age (OR 0.88) and with the number of enucleated myomas (OR 1.17).
A total of 32 deliveries occurred after LM. Of these, vaginal birth was attempted in 23, resulting in 19 (83%) successful vaginal births, with all but one occurring after 37 weeks' gestation. Attempted vaginal birth after LM was unsuccessful in four patients (J. Minim. Invasive ...
- Vaginal Birth after a Previous Cesarean Delivery.(Women's Health Advisor 2004.1)
- Clinical Reference Systems Cooper, Phyllis G. January 1, 2004 700+ words
What is a vaginal birth after cesarean delivery (VBAC...than half of the women who attempt vaginal birth after one previous cesarean delivery...allowed to continue your labor and a vaginal birth if there is no evidence of problems...
- Vaginal Birth after a Previous Cesarean Delivery.(Women's Health Advisor 2002.1)
- Clinical Reference Systems Cooper, Phyllis G. January 1, 2002 700+ words
What is a vaginal birth after cesarean delivery (VBAC...than half of the women who attempt vaginal birth after one previous cesarean delivery...allowed to continue your labor and a vaginal birth if there is no evidence of problems...
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- Clinical Reference Systems Cooper, Phyllis G. January 1, 2001 700+ words
What is a vaginal birth after cesarean delivery (VBAC...than half of the women who attempt vaginal birth after one previous cesarean delivery...allowed to continue your labor and a vaginal birth if there is no evidence of problems...
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- Clinical Reference Systems Cooper, Phyllis G. January 1, 2000 700+ words
What is a vaginal birth after cesarean section (VBAC...than half of the women who attempt vaginal birth after one previous cesarean section...should have a trial of labor for vaginal birth. The main concern relates to the...
- Vaginal Birth after Cesarean Section.(Brief Article)
- Clinical Reference Systems Cooper, Phyllis G. November 1, 1999 700+ words
What is a vaginal birth after cesarean section (VBAC...than half of the women who attempt vaginal birth after one previous cesarean section...should have a trial of labor for vaginal birth. The main concern relates to the...
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- Clinical Reference Systems Cooper, Phyllis G. November 1, 2008 700+ words
What is a vaginal birth after a previous Cesarean section...child vaginally. This is called a vaginal birth after a cesarean section, or VBAC...provider may encourage you to try a vaginal birth. Labor and vaginal delivery are...
- Incontinence twice as likely with vaginal birth.(Gynecology)
- Magazine article from: OB GYN News Boschert, Sherry June 1, 2005 700+ words
...stress urinary incontinence, with vaginal birth doubling the chance of incontinence...second analysis, 87% had at least one vaginal birth, and the rest delivered by cesarean...rate of stress incontinence as did the vaginal birth group after the investigators controlled...