Obstetrics and gynecology international
Systematic Review of Pregnancy After Myomectomy: The Risk of Uterine Rupture
By Groffils C, Paelinck L, van Wessel S and 3 others.
Abstract
Introduction
A myoma is the most common pelvic mass in the urogenital tract and can cause various symptoms. Myomectomy is sometimes performed as treatment. A myomectomy prior to pregnancy can cause some risks or complications. The most feared complication is a uterine rupture, with an incidence of 0.60%-0.75% reported in the literature up to 2012. The aim of this study is to review recent literature on the risk of uterine rupture during labour following a myomectomy.
Materials and methods
To identify new insights, an extensive literature search was performed in the following databases: MEDLINE (PubMed), Embase, Web of Science and Cochrane Library. Articles published between 1 April 2013 and 31 October 2023 were included. The articles were screened for inclusion or exclusion by two reviewers. A total of 31 articles were included.