Pregnancy Outcomes in Patients with Anorectal Malformations

Chan, Serena H.; Schwartz, Beth I.; Alexander, Morgan R.; Martínez-Leo, Bruno; Bischoff, Andréa; Dickie, Belinda; Frischer, Jason S.; Levitt, Marc A.; Peña, Alberto; Breech, Lesley

doi:10.1016/j.jpag.2015.02.064

Cited by 3 publications

(3 citation statements)

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“…Consistent with existing literature, patients with anorectal malformations can achieve pregnancy, however assisted reproduction and alternative family building may be needed in those with complex anomalies who desire parenthood. Almost all patients in this cohort delivered by cesarean-section which is consistent with prior report by Chan et al [5].…”

Section: Fertiqol In Patients With Fertility Concernssupporting

confidence: 92%

“…Prior studies report spontaneous conception and pregnancy in patients with ARM, however most delivered by cesarean section [5]. Huibregtse et al performed a systematic literature review of the in uence of ARM on fertility which included nine articles and a total of 429 patients.…”

Section: Introductionmentioning

confidence: 99%

“…In patients with ARM, fertility may be impaired by the complexity of the anomaly, extensive surgical history, other medical comorbidities, as well as associated Mullerian anomalies. Assisted reproduction and/or alternative family building may be needed in complex malformations, especially in those who have a partial neovagina replacement with bowel [5].…”

Section: Introductionmentioning

confidence: 99%

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Fertility concerns and outcomes in females with anorectal malformations

Wehrli,

Reppucci,

Woodfield

et al. 2023

Preprint

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Purpose To assess fertility concerns and to describe pregnancy outcomes in patients with anorectal malformations (ARM). Methods This is an IRB approved, cross-sectional study of patients in the Adult Colorectal Research Registry who completed reproductive health surveys between November 2021 and August 2022. Patients assigned female at birth with age 18 or older and ARM were included. Results Sixty-four patients with ARM, age 18 or older, were included. Fertility concerns were reported in 26 (40.6%) patients, 11 of which had seen a fertility specialist, including four who had not yet tried to conceive. Fertility concerns were highest amongst cloaca patients who had not yet tried to conceive (37.5%). 26 (40.6%) patients had tried to conceive, of which 16 (25%) reported fertility problems, most frequently uterine abnormalities and damaged or blocked fallopian tubes. 22 (34.4%) participants were able to conceive and 18 (28.1%) had at least one live birth. Patients with ARM who had concerns of fertility, had better FertiQoL when compared to published reference scores for patients experiencing fertility issues. Conclusion Providers should be aware of fertility concerns in patients with ARM. Proactive counseling with referrals to a fertility specialist should be considered in patients who desire future fertility.

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Section: Fertiqol In Patients With Fertility Concernssupporting

confidence: 92%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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