Reproductive outcomes in women with classic bladder exstrophy: an observational cross-sectional study.
Am J Obstet Gynecol
; 206(6): 496.e1-6, 2012 Jun.
Article
en En
| MEDLINE
| ID: mdl-22537419
ABSTRACT
OBJECTIVE:
We sought to examine the reproductive outcomes of 52 women with classical bladder exstrophy. STUDYDESIGN:
This was an observational study with cross-sectional and retrospective arms.RESULTS:
The average age of the sample was 33 years (range, 17-63). Of those who had tried, 19/38 (66%) had conceived. A total of 57 pregnancies (3 sets of twins) were reported for the 19 patients and resulted in 34/57 live births (56%), 21/57 miscarriages (35%), 1/57 (2%) termination, and 4/57 (7%) stillbirths or neonatal deaths. Four deliveries resulted in major complications including 1 transection of the ureter (4%), 1 fistula formation (4%), and 2 postpartum hemorrhages (8%). There were 2 admissions to intensive care, one for urinary sepsis and another for massive obstetric hemorrhage.CONCLUSION:
Fertility is impaired in women with bladder exstrophy. Pregnancy is high risk both for the mother and baby. Delivery should be at a tertiary referral obstetric unit with urology cover. In the majority of cases planned cesarean section is the most appropriate mode of delivery.
Texto completo:
1
Colección:
01-internacional
Banco de datos:
MEDLINE
Asunto principal:
Complicaciones del Embarazo
/
Extrofia de la Vejiga
/
Infertilidad Femenina
Tipo de estudio:
Observational_studies
/
Prevalence_studies
/
Risk_factors_studies
Límite:
Adolescent
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Adult
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Female
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Humans
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Middle aged
/
Pregnancy
Idioma:
En
Revista:
Am J Obstet Gynecol
Año:
2012
Tipo del documento:
Article
País de afiliación:
Australia