泄殖腔畸形修复术后的三胞胎。
Triplets after cloacal malformation repair.
作者信息
Greenberg James A, Wu Jennifer M, Rein Mitchell S, Hendren W Hardy
机构信息
The Department of Obstetrics and Gynecology, Brigham & Women's Hospital and Harvard Medical School, Boston, Massachusetts, USA.
出版信息
J Pediatr Adolesc Gynecol. 2003 Feb;16(1):43-4. doi: 10.1016/s1083-3188(02)00203-6.
BACKGROUND
Patients with cloacal malformations at birth usually require multiple surgical procedures to correct their anatomic defects. In addition, many also have associated Müllerian anomalies. Those who conceive after repairs invariably are considered "high-risk" pregnancies and are considered poor candidates for maintaining multiple gestations. Further, because of the nature of their defects and their repairs, following such patients with multiple gestation presents unique challenges.
CASE
A 29-year-old multipara conceived triplets and delivered at 30 weeks with a good maternal and neonatal outcome.
CONCLUSIONS
Patients with repaired cloacal abnormalities present unique challenges and risks compared to the general population with regard to the risks of multiple pregnancies.
背景
出生时患有泄殖腔畸形的患者通常需要多次外科手术来纠正其解剖缺陷。此外，许多患者还伴有苗勒管异常。那些在修复后怀孕的患者无一例外地被视为“高危”妊娠，且被认为不适宜维持多胎妊娠。此外，由于其缺陷及修复的性质，对这些多胎妊娠患者进行随访存在独特的挑战。
病例
一名29岁经产妇怀了三胞胎，并在30周时分娩，母婴结局良好。
结论
与普通人群相比，接受过泄殖腔畸形修复的患者在多胎妊娠风险方面存在独特的挑战和风险。
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