Abstract
Objective: The reproductive and gynecologic outcomes for women after the pregnancy complicated by open maternal-fetal surgery (OMFS) were evaluated. Study Design: The retrospective review identified 93 women with OMFS from a single institution (1996-2007). Consent and questionnaires were sent to women. Institutional review board approval was obtained from the Committee for Protection of Human Subjects. Results: The total return rate was 57.3%. Total pregnancies reported were 47, with 36 delivering after 20 weeks' gestation. The uterine dehiscence and rupture rates were 14% and 14%, respectively. Fetal anomalies occurred in 4 subsequent pregnancies. Normal conception occurred in 98% of subsequent pregnancies. Gynecologic issues were reported by 8 women, with infertility, abdominal pain, and ovarian and uterine factors. Conclusion: The reproductive outcomes of uterine dehiscence (14%) and rupture (14%) in a subsequent pregnancy continue to be a major counseling issue for OMFS. Fertility and gynecologic factors do not appear to be increased for women undergoing OMFS.
| Original language | English |
|---|---|
| Pages (from-to) | 209.e1-209.e6 |
| Journal | American journal of obstetrics and gynecology |
| Volume | 203 |
| Issue number | 3 |
| DOIs | |
| State | Published - Sep 2010 |
Keywords
- fetal anomalies
- in utero therapy
- maternal-fetal surgery
- maternal-fetal surgery risk
- open maternal-fetal surgery outcomes
- uterine dehiscence
- uterine rupture