55 | Vaginal Birth After Laparoscopic Myomectomy - Mabel Bashorun

July is Fibroid Awareness Month - studies show that Black women suffer from fibroids 2-3 times more than white women and tend to experience fibroids at a younger age and often more severely. With those numbers, Black women are also 2 to 3 times more likely to undergo surgery to manage their fibroids. With such a common occurrence, few women are open about their experience, know about treatment options, or what options they have after having a myomectomy.In this episode, Mabel walks us through her infertility journey, a pregnancy with fibroids, advocating for a trial of labor after laparoscopic myomectomy, and a redemptive vaginal birth. At 26 years old, she found out that she had fibroids, which she would never have expected. Researching and working with her care provider, Mabel decided the best option for her would be to get her fibroids removed through surgery. Knowing that she and her husband would want to expand their family, she decided to move forward with laparoscopic myomectomy. A minimally invasive procedure to remove fibroids, but also provides a better chance for having vaginal births. Whether it be abdominal or laparoscopic, most myomectomy candidates are not offered a trial of labor. When she found out she was pregnant, Mabel was aware of the odds, but standing firm in her wants and needs, she went through a dozen no's before meeting a doctor who was willing to step out of his comfort zone and support her. This episode covers a myriad of topics; diastasis recti, pelvic floor health, fibroids, blood transfusions, hemorrhaging, drawing boundaries with family, but most importantly, advocating for ourselves as Mabel puts it "having the nerve" to stand up and demand what we want. Resources:Within Her Birth Services (Mabel Bashorun) | birth doula servicesThe Birth Hour | birth story podcastMama Natural Week by Week Guide to Natural Pregnancy and Childbirth | pregnancy & childbirth book by Genevieve HowlandSupernatural Childbirth | childbirth book by Jackie MizeVBAML (vaginal birth after laparoscopic myomectomy) | research articles & informationPregnancy and Delivery After Laparoscopic Myomectomy (Journal of Minimally Invasive Gynecology)Pregnancy and delivery after laparoscopic myomectomy (National Library of Medicine)Pregnancy Outcome and Deliveries Following Laparoscopic Myomectomy (Human Reproduction Volume 15, Issue 4)