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Pregnancies in women with uterine malformation, treated obstruction of hemivagina and ipsilateral renal agenesis.
- Source :
-
Archives of gynecology and obstetrics [Arch Gynecol Obstet] 2013 May; Vol. 287 (5), pp. 975-8. Date of Electronic Publication: 2012 Dec 18. - Publication Year :
- 2013
-
Abstract
- Purpose: The aim of this study was to evaluate the outcome of pregnancies in women who had uterine malformation and surgically treated obstructed hemivagina with ipsilateral renal agenesis.<br />Methods: The study group comprised 21 women with malformed uterus (12 didelphic, 6 septate and 3 bicornuate uterus). All of them had a history of surgical excision of the longitudinal vaginal septum caused obstructed hemivagina and ipsilateral renal agenesis. All pregnancies and possible surgical interventions were evaluated during the follow-up period (median 13.2 years).<br />Results: Thirteen out of 21 women attempting pregnancy conceived. They produced 22 pregnancies, 17 (77 %) were contralateral to the treated obstructed hemivagina and unilateral renal agenesis. The median interval between surgical treatment of obstructed hemivagina and the first pregnancy was 10.5 years. Twenty (91 %) pregnancies ended in delivery of a living infant. Preeclampsia (14 %), preterm delivery (36 %), high frequency (38 %) of fetal breech presentation and the cesarean section rate (67 %) were found.<br />Conclusions: Accurate diagnosis and appropriate surgery to open an obstructed hemivagina in adolescence assure fertility. Preterm birth is associated with malformed uterus and unilateral renal agenesis may predispose to preeclampsia.
- Subjects :
- Adolescent
Adult
Child
Congenital Abnormalities
Female
Gestational Age
Hematocolpos etiology
Hematocolpos surgery
Humans
Kidney abnormalities
Kidney Diseases complications
Pregnancy
Pregnancy Outcome
Treatment Outcome
Young Adult
Kidney Diseases congenital
Pregnancy Complications
Uterus abnormalities
Vagina abnormalities
Vagina surgery
Vaginal Diseases surgery
Subjects
Details
- Language :
- English
- ISSN :
- 1432-0711
- Volume :
- 287
- Issue :
- 5
- Database :
- MEDLINE
- Journal :
- Archives of gynecology and obstetrics
- Publication Type :
- Academic Journal
- Accession number :
- 23247278
- Full Text :
- https://doi.org/10.1007/s00404-012-2680-0