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Jasmine, Singapore

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Preggers

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VBAM - vaginal birth after myomectomy

Hello, was wondering if any mum has opted for vaginal birth after myomectomy surgery instead of C section? If yes, what was your experience like? Did you have uterine rupture? I had a laparoscopy myomectomy last year and thinking if I should go for vaginal birth. Doc recommended c section though

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Hi Jasmine, this is such an important question and I'm glad you're researching it carefully before making your decision. I haven't personally been through VBAM but wanted to share what is generally known medically because I think it helps to have the full picture alongside your doctor's advice. The key factor that matters most in your situation is how your myomectomy was done and where the fibroid was located. A laparoscopic myomectomy where the uterine cavity was entered carries a higher risk of uterine rupture during labour compared to one where the cavity was not breached. This is why many obstetricians are cautious and lean towards recommending C-section, especially if the incision was deep or involved the full thickness of the uterine wall. Uterine rupture during a VBAM is rare but when it does happen it is a serious emergency, which is why doctors tend to be conservative with this recommendation. It is not them being overly cautious for no reason. That said, every case is different. The size and location of the fibroid that was removed, the surgical technique used, and how well the uterus healed all matter enormously. Some mummies with certain types of myomectomy do go on to have vaginal births, but this really needs to be assessed case by case by a specialist who can review your actual surgical notes and current scan. My honest suggestion is to ask your doctor specifically what was documented in your operation notes about whether the uterine cavity was entered, and request a second opinion from a Maternal Fetal Medicine specialist if you feel you need more clarity before deciding. Trust your doctor on this one but also feel empowered to ask all the questions you need to make a decision you are at peace with. 🤍
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