Vaginal Delivery After Dührssen Incisions in a Patient With Bladder Exstrophy and Uterine Prolapse.
Obstet Gynecol
; 129(4): 689-692, 2017 04.
Article
en En
| MEDLINE
| ID: mdl-28277359
ABSTRACT
BACKGROUND:
Bladder exstrophy is a rare congenital anomaly affecting the lower abdominal wall, pelvis, and genitourinary structures. Pregnant women with bladder exstrophy present a unique challenge to the obstetrician. CASE The patient is a 35-year old pregnant woman with bladder exstrophy, an extensive surgical history, and uterine prolapse with an abnormal, rubbery consistency to her cervix. Prenatally, she was counseled on the potential use of Dührssen incisions to facilitate vaginal delivery. Labor was induced at 36 4/7 weeks of gestation after her pregnancy was complicated by recurrent pyelonephritis. Vaginal delivery was achieved 8 minutes after the creation of Dührssen incisions.CONCLUSION:
The care of pregnant women with bladder exstrophy requires multidisciplinary management and careful delivery planning. Successful vaginal delivery can be attained in these patients.
Texto completo:
1
Base de datos:
MEDLINE
Asunto principal:
Complicaciones del Embarazo
/
Enfermedades del Cuello del Útero
/
Cuello del Útero
/
Extrofia de la Vejiga
/
Prolapso Uterino
/
Parto Obstétrico
Tipo de estudio:
Etiology_studies
Idioma:
En
Revista:
Obstet Gynecol
Año:
2017
Tipo del documento:
Article