myomectomy after cesarean section: considerations and planning

Uterine myoma is benign tumor of the uterus enlarges during pregnancy, with incidence   0.1 – 10.7%. uterine myoma in pregnancy is always interesting to learn, in terms of the effect of myoma in pregnancy or the effect of pregnancy on myoma. reporting  24-year-old  woman with a large intramural uterine myoma  was referred to hospital at 36 weeks of gestation  and  the baby’s head haven’t entered the pelvic inlet because it was blocked by that  large myoma , then  decided to  do a cesarean section. we also did a myomectomy after a cesarean section due to a large myoma that could block the uterine subinvolution with the risk of postpartum hemorrhage. an elective cesarean myomectomy was performed at 38 gestational ; the outcome was  baby boy  3340 g and a large fibroid (12 cm) followed by insertion of iud intra uterine cavity to prevent adhesion. with proper examination and planning during pregnancy, myomectomy after cesarean section will give safe.