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Correspondence| Volume 241, P129, October 2019

Re: Vaginal birth after prior myomectomy

      We read with interest the article “Vaginal birth after prior myomectomy” by Gambacorti-Passerini, a retrospective review of patients with previous myomectomy via laparoscopy or laparotomy who subsequently became pregnant [
      • Gambacorti-Passerini Z.M.
      • Penati C.
      • Carli A.
      • Accordino F.
      • Ferrari L.
      • Berghella V.
      • et al.
      Vaginal birth after prior myomectomy.
      ]. The study contacted patients with previous myomectomies to query their later pregnancy outcomes. The conclusion of the article was “A successful vaginal delivery was accomplished by 90.4% of women who had TOLAM (trial of labor after myomectomy), without any case of UR (uterine rupture) or severe maternal and perinatal complications.”
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      References

        • Gambacorti-Passerini Z.M.
        • Penati C.
        • Carli A.
        • Accordino F.
        • Ferrari L.
        • Berghella V.
        • et al.
        Vaginal birth after prior myomectomy.
        Eur J Obstet Gynecol Reprod Biol. 2018; 231: 198-203
        • American College of Obstetricians and Gynecologists
        ACOG Practice bulletin no. 115: vaginal birth after previous cesarean delivery.
        Obstet Gynecol. 2010; 116: 450