Abstract
Reproductive outcomes in women after pregnancy complicated by an open maternal-fetal surgery (OMFS) are limited. A review of the medical literature reveals only isolated cases of successful multiple pregnancies, and there are no prior documented cases of successful triplet gestations following OMFS. We report the delivery of a triplet gestation at 34-week gestation in a patient with a history of previous OMFS.
Highlights
Reproductive outcome data on women who have previously undergone an open maternal-fetal surgery (OMFS) is limited
During pregnancy number 3, she had participated in the Management of Myelomeningocele Study (MOMS) and underwent OMFS at 24 weeks at The Children’s Hospital of Philadelphia
In part, to concerns for uterine rupture, at 32-week gestation, she was admitted for bed rest and observation. She completed a course of betamethasone for fetal lung maturity. She underwent a repeate cesarean delivery at 34week gestation for triplet gestation that was productive of three healthy infants
Summary
Reproductive outcome data on women who have previously undergone an open maternal-fetal surgery (OMFS) is limited. Wilson et al reported on the reproductive outcomes of a cohort of 93 women. There were 47 pregnancies beyond 20-week gestation; the rate of uterine rupture and dehiscence was 14%.
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