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. Copyright 2010 Mosby, Inc. All rights reserved.
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. Copyright 2010 Mosby, Inc. All rights reserved.
Authors: William H Goodnight; Ozan Bahtiyar; Kelly A Bennett; Stephen P Emery; J B Lillegard; Allan Fisher; Ruth Goldstein; Jillian Jatres; Foong-Yen Lim; Laurence McCullough; Ueli Moehrlen; Julie S Moldenhauer; Anita J Moon-Grady; Rodrigo Ruano; Daniel W Skupski; Elizabeth Thom; Marjorie C Treadwell; KuoJen Tsao; Amy J Wagner; Lindsay N Waqar; Michael Zaretsky Journal: Am J Obstet Gynecol Date: 2019-03-15 Impact factor: 8.661
Authors: Mark P Johnson; Kelly A Bennett; Larry Rand; Pamela K Burrows; Elizabeth A Thom; Lori J Howell; Jody A Farrell; Mary E Dabrowiak; John W Brock; Diana L Farmer; N Scott Adzick Journal: Am J Obstet Gynecol Date: 2016-08-02 Impact factor: 8.661
Authors: N Scott Adzick; Elizabeth A Thom; Catherine Y Spong; John W Brock; Pamela K Burrows; Mark P Johnson; Lori J Howell; Jody A Farrell; Mary E Dabrowiak; Leslie N Sutton; Nalin Gupta; Noel B Tulipan; Mary E D'Alton; Diana L Farmer Journal: N Engl J Med Date: 2011-02-09 Impact factor: 91.245