fibroid, which carries less operative risk than an intramural fibroid. Ehigiegba et al. (2001) have also emphasised the importance of case selection in performing myomectomy in pregnancy in their review of 25 cases in which myomectomy was performed at caesarean section.Most uterine fibroids complicating pregnancy can be managed conservatively, however myomectomy may be indicated in cases of intractable pain not responding to analgesia and where the fibroid is solitary or subserous and removal will not breach the endometrial cavity. Such cases have to be carefully selected and the risks of the procedure discussed in detail, documented and consent obtained.
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