| Reproductive outcomes in subsequent pregnancies after a pregnancy complicated by open maternal-fetal surgery (1996-2007). | |
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MedLine Citation:
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PMID: 20537307 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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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. |
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Authors:
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R Douglas Wilson; Kerrie Lemerand; Mark P Johnson; Alan W Flake; Michael Bebbington; Holly L Hedrick; N Scott Adzick |
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Publication Detail:
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Type: Journal Article |
Journal Detail:
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Title: American journal of obstetrics and gynecology Volume: 203 ISSN: 1097-6868 ISO Abbreviation: Am. J. Obstet. Gynecol. Publication Date: 2010 Sep |
Date Detail:
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Created Date: 2010-09-06 Completed Date: 2010-09-30 Revised Date: - |
Medline Journal Info:
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Nlm Unique ID: 0370476 Medline TA: Am J Obstet Gynecol Country: United States |
Other Details:
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Languages: eng Pagination: 209.e1-6 Citation Subset: AIM; IM |
Copyright Information:
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Copyright 2010 Mosby, Inc. All rights reserved. |
Affiliation:
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Center for Fetal Diagnosis and Treatment, Children's Hospital of Philadelphia, Philadelphia, PA, USA. |
Export Citation:
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APA/MLA Format Download EndNote Download BibTex |
| MeSH Terms | |
Descriptor/Qualifier:
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Abdominal Pain
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epidemiology Abortion, Spontaneous / epidemiology Congenital Abnormalities Female Fetal Diseases / surgery Fetus / surgery* Humans Infertility, Female / epidemiology Menstruation Disturbances / epidemiology Pregnancy Pregnancy Outcome* Pregnancy Rate* Questionnaires Retrospective Studies Surgical Wound Dehiscence / epidemiology Tissue Adhesions / epidemiology Uterine Rupture / epidemiology |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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