Journal of Shandong University (Health Sciences) ›› 2023, Vol. 61 ›› Issue (1): 69-73.doi: 10.6040/j.issn.1671-7554.0.2022.0981

• 临床医学 • Previous Articles    

Vaginal delivery after myomectomy in the first trimester of pregnancy: a case report and literature review

ZHANG Hongyuan, GU Yongzhong   

  1. Department of Obstetrics and Gynaecology, Shandong Provincial Hospital Affiliated to Shandong First Medical University, Jinan 250021, Shandong, China
  • Published:2023-01-10

Abstract: Objective To explore the feasibility of myomectomy in early pregnancy, and the choice of delivery mode and timing after myomectomy in pregnancy. Methods A retrospective analysis was performed on the clinical data of a patient with vaginal delivery after myomectomy in the first trimester of pregnancy in Shandong Provincial Hospital Affiliated to Shandong First Medical University, and the relative literature were reviwed. Results The patient underwent myomectomy under general anesthesia on the 32nd day of gestation, and underwent regular obstetric examination during pregnancy. The process went smoothly. Finally, the patient underwent vaginal delivery at the 41st week of gestation after artificial rupture of the membranes, and recovered well. Conclusion Myomectomy in early pregnancy can be tried, and elective cesarean section can be performed at 36-38+6 weeks in the third trimester of pregnancy after myomectomy during pregnancy. If the integrity of myometrium is not significantly damaged during myomectomy, vaginal delivery can be tried under close supervision, and the gestational age of delivery can be extended to 41 weeks. For pregnant women who underwent myomectomy, induction of labor after 40 weeks is not recommended.

Key words: Pregnancy, Myomectomy, Cesarean section, Vaginal delivery, Induction of labor

CLC Number: 

  • R714.2
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