Complex maternal congenital anomalies – a rare presentation and delivery through a supra-umbilical abdominal incision

A road map for the management of a pregnancy complicated by maternal bladder exstrophy

“…The antenatal complications in women with BE include miscarriage, preterm birth, UTI, urinary retention, pyelonephritis and uterine prolapse [4][5][6]12]. Urinary retention and subsequent UTI occur possibly due to kinking of the conduit by the gravid uterus [13] and Deans et al 2012 recommended baseline urine MCS followed by serial monitoring of urine cultures as asymptomatic bacteria is common in these women.…”

“…Bonner & Mohammed 2018 were the only authors who reported the use of an abdominal MRI in the third trimester to determine the location of vital structures within the abdominal cavity with respect to the gravid uterus to assist in surgical planning [4]. We performed an abdominal MRI at 36 weeks to assist in surgical planning and minimise the risk of injury to the neobladder.…”

“…Advances in surgical techniques, antimicrobial therapies and access to medical care have improved reproductive health in women affected with BE [3]. The antenatal complications include miscarriage, pelvic organ prolapse [4,5], recurrent urinary tract infections (UTI's), pyelonephritis and preterm birth [6]. Women with BE may also have abdominal and pelvic adhesions following multiple prior reconstructive procedures which can complicate access at the time of caesarean section (CS) [4].…”

“…The antenatal complications include miscarriage, pelvic organ prolapse [4,5], recurrent urinary tract infections (UTI's), pyelonephritis and preterm birth [6]. Women with BE may also have abdominal and pelvic adhesions following multiple prior reconstructive procedures which can complicate access at the time of caesarean section (CS) [4]. Although recommended by several authors [7][8][9], robust evidence to support a caesearean section over vaginal delivery in preventing adverse outcomes [10] is lacking and may be due to the low prevalence of the condition.…”

A road map for the management of a pregnancy complicated by maternal bladder exstrophy

“…Advances in surgical techniques, antimicrobial therapies and access to medical care have improved reproductive health in women affected with BE [ 3 ]. The antenatal complications include miscarriage, pelvic organ prolapse [ 4 , 5 ], recurrent urinary tract infections (UTI’s), pyelonephritis and preterm birth [ 6 ]. Women with BE may also have abdominal and pelvic adhesions following multiple prior reconstructive procedures which can complicate access at the time of caesarean section (CS) [ 4 ].…”