Journal of Pediatric and Adolescent Gynecology
Volume 16, Issue 1 , Pages 43-44, February 2003

Triplets After Cloacal Malformation Repair

  • James A Greenberg, MD

      Affiliations

    • Corresponding Author InformationAddress reprint requests to: James A. Greenberg, MD, 1153 Centre Street, Suite 36, Boston, MA 02130, USA
    • The Departments of Obstetrics and Gynecology, Brigham & Women's Hospital and Harvard Medical School, Boston, MA, USA
    • ,
  • Jennifer M Wu, MD

      Affiliations

    • The Departments of Obstetrics and Gynecology, Brigham & Women's Hospital and Harvard Medical School, Boston, MA, USA
    • ,
  • Mitchell S Rein, MD

      Affiliations

    • The Departments of Obstetrics and Gynecology, Brigham & Women's Hospital and Harvard Medical School, Boston, MA, USA
    • ,
  • W.Hardy Hendren, MD, FACS

      Affiliations

    • The Departments of Surgery, The Children's Hospital and Harvard Medical School, Boston, MA, USA

Abstract 

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.

Case: 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.

Keywords:  Cloacal malformations, Multiple gestation, Triplets, Urogenital anomaly

To access this article, please choose from the options below

Login to an existing account or Register a new account.

  • Purchase this article for 30.00 USD (You must login/register to purchase this article)

    Online access for 24 hours. The PDF version can be downloaded as your permanent record.

  • Subscribe to this title

    Get unlimited online access to this article and all other articles in this title 24/7 for one year.

  • Claim access now

    For current subscribers with Society Membership or Account Number.

  • Visit SciVerse ScienceDirect to see if you have access via your institution.
 

PII: S1083-3188(02)00203-6

Journal of Pediatric and Adolescent Gynecology
Volume 16, Issue 1 , Pages 43-44, February 2003

Article Tools