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ISSN 2063-5346
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A Report of One Case: The Management of Multiple Myoma Uterine During Caesarean Section

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Bambang Hady Pratama
» doi: 10.48047/ecb/2023.12.si4.1022

Abstract

A woman, 37 years old G3P2A0 gravid 37 weeks 4 days came with a fetal emergency with a Fetal Heartrate of 187x/min. There is an inpartu sign with an opening of 2 cm. Vital signs within normal limits. The patient also has uterine myoma, so surgery of the cesarean section and myomectomy per abdominal is planned. Postoperatively, multiple myomas with the largest size of 10x10 cm were found and histopathological results showed uterine leiomyoma. Baby was born with birth weight 3320 gr, length 48 cm, and Apgar score 8/10. Drip oxytocin, cefotaxim, ketorolac, tranexamic acid, ranitidine, and methylergometrin administered post-operatively. Postoperative hemoglobin was 10.9 grams/dl or 1 gram/dl lower than before surgery. The 9th day after surgery, the general state and surgical wounds looked good, the uterus fundus height was 2 fingers below the center, and there were no other complaints.

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