Birthing Instincts

#327 Interesting Stuff about Fibroids


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On short notice, Blyss gives Dr. Stu a request for a deep dive into the common finding of uterine fibroids. Listener questions and common doctor recommendations are addressed. Whether pregnant or not, many women will be confronted with this diagnosis. Symptoms, treatment, outcomes, and options are all discussed in today's episode. The data may surprise you.

Dr. Stu and Blyss delve into the treatment options for fibroids, emphasizing the importance of patient-specific strategies and shared decision-making. They then discuss the potential effects of uterine fibroids on pregnancy outcomes. This includes exploring the theories behind the pain associated with red degeneration and the effects of fibroids on pregnancy outcomes. Finally, they examine the data from recent studies comparing the risk of conditions like postpartum hemorrhage, retained placenta, and uterine rupture in women with fibroids to that of control subjects. Tune in for this comprehensive session on fibroids, pregnancy, and birth choices.

Key highlights:

  • Fibroids' Impact on Pregnancy
  • Myomectomy and Vaginal Delivery Considerations
  • Racial Disparities in Fibroid Treatment
  • Treatment Options for Fibroids
  • Uterine Fibroids and Pregnancy Outcomes
  • Uterine Rupture Risks After Myomectomy


Episode resources:

  • Article: Management of Symptomatic Uterine Leiomyomas
  • Article: Contemporary Management of Fibroids in Pregnancy
  • Article: Trial of labor after myomectomy and uterine rupture: a systematic review


This show is supported by:

  • LMNT | Go to drinklmnt.com/birthinginstincts to get a free sample pack with every order
  • Needed | Use code BIRTHINGINSTINCTS for 20% off your first month or first 3 months of a one-month subscription at thisisneeded.com.
  • BIRTHFIT | Go to birthfit.com and use the code INSTINCTS1 for a discount on the Basics Prenatal program, or INSTINCTS2 for a discount on the Basics Postpartum program.



Connect with Dr. Stu & Blyss:

  • Instagram: @birthinginstincts / @birthingblyss
  • Website: birthinginstincts.com / birthingblyss.com
  • Email: [email protected] 
  • Call-in line: 805-399-0439


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Birthing InstinctsBy Dr. Stuart Fischbein + Midwife Blyss Young

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