Triplets after cloacal malformation repair.
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.


METHODS
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.
Greenberg
James A
JA
The Department of Obstetrics and Gynecology, Brigham & Women's Hospital and Harvard Medical School, Boston, Massachusetts, USA. jagreenberg@partners.org
Wu
Jennifer M
JM
Rein
Mitchell S
MS
Hendren
W Hardy
WH
D000328:Adult; D002988:Cloaca / Q000002:abnormalities*; D000013:Congenital Abnormalities / Q000601:surgery; D005260:Female; D006801:Humans; D011247:Pregnancy; D011256:Pregnancy Outcome; D018566:Pregnancy, High-Risk; D011272:Pregnancy, Multiple; D014310:Triplets