摘要：Delivery options following both open and laparoscopic myomectomy remains a controversial topic and opinionsvary between obstetricians and gynaecologists. The historical advice of planned caesarean section before 39-weekspersists despite the movement towards the minimal access approach for myomectomy. The main concern remainsthe small, but potentially catastrophic risk of uterine rupture. Unfortunately, there remains a paucity of dataassessing factors that can affect the uterine integrity following laparoscopic myomectomy, such as number, sizeand type of fibroids, uterine cavity breach and electro-cautery usage. Despite this, the cited 1% overall risk ofrupture following myomectomy is similar to the quoted risk following trial of labour after caesarean section, anda successful and safe vaginal delivery can be achieved in as high as 90%. Patient choice and informed consent areessential in the holistic approach to managing these women and safely supporting their delivery choices..
