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Acta Medica Iranica، جلد ۵۹، شماره ۹، صفحات ۵۶۴-۵۶۶
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عنوان انگلیسی A Rare Case of Pregnancy Complicated by Bladder Exstrophy and Uterine Prolapse
چکیده انگلیسی مقاله Uterine prolapse and bladder exstrophy (BE) during pregnancy is a rare condition. The aim of this study was to present a rare case of pregnancy complicated by both bladder exstrophy and uterine prolapse. A 39-year-old pregnant woman (gravida 2, para 1) presented to the maternity department at 39 weeks of gestation with labor pain. Physical examination showed regular uterine contractions; the cervix was completely out of the vaginal opening with dilatation of 3 cm and effacement of 30%. She had a history of multiple surgeries for correction of bladder exstrophy and also suffered from uterine prolapse. In active labor, abnormal fetal heart rate tracing happened, so an emergent cesarean section was planned, and a healthy neonate with the normal Apgar score was born. At regular follow-up until four months after delivery, there was no sign or symptom of uterine proplase. Multidisciplinary management of patients with BE and uterine prolapse may result in optimal perinatal outcomes. Uterine prolapse may disappear after delivery, even in the complicated case of bladder exstrophy.
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نویسندگان مقاله | Leila Pourali
Department of Obstetrics and Gynecology, Faculty of Medicine, Mashhad University of Medical Sciences, Mashhad, Iran


| Hamidreza Ghorbani
Assistant Professor, Department of Urology, Faculty of Medicine, Mashhad University of Medical Sciences, Mashhad, Iran.


| Atiyeh Vatanchi
Assistant professor, Department of Obstetrics and Gynecology, Faculty of Medicine, Mashhad University of Medical Sciences, Mashhad, Iran


| Sedigheh Ayati
Professor, Department of Obstetrics and Gynecology, Faculty of Medicine, Mashhad University of Medical Sciences, Mashhad, Iran.


| Ghazal Ghasemi
Gynecologist, Faculty of Medicine, Mashhad University of Medical Sciences, Mashhad, Iran


| Azimeh Golzar
Resident, Department of Obstetrics and Gynecology, Faculty of Medicine, Mashhad University of Medical Sciences, Mashhad, Iran
نشانی اینترنتی https://acta.tums.ac.ir/index.php/acta/article/view/9321
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