Uterine Rupture Risk After Gynecologic Surgery

What patients who had myomectomy or other uterine surgery should know before pregnancy.

Why this matters

Pregnancy after uterine surgery carries a small but real risk of rupture, particularly during labor. Recognizing risk early changes how we monitor and plan delivery.

Risk factors

Higher-risk situations include myomectomies that entered the cavity, multiple or large fibroids, classical cesarean, and short interval to next pregnancy.

What we recommend

Pre-pregnancy counseling, careful imaging review, planned delivery in a hospital with surgical capability, and a clear birth plan agreed in advance.

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