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5cm , the largest leiomyoma dimension of 40mm, uterine length of 10cm, and bimanual uterine size of 13weeks. Multiple modified Poisson regression revealed that the strongest predictors of morcellation were the largest leiomyoma diameter of 40mm (RR 3.58), the uterine cross-sectional area of 36.5cm (RR 6.38), and uterine size in the bimanual exam of 13weeks pregnancy (RR 3.57). The largest leiomyoma diameter, uterine cross-sectional area, and size on a bimanual exam can all be used to predict needing morcellation preoperativ