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RCOG World Congress 2023
June 12 - 14, 2023 | London, UK
PP.0039
Psychological, gynaecological, fertility and obstetric outcomes after maternal-fetal surgery for spina bifida
Poster Presenter
Authors
Kobe Haenen, Simen Vergote, Yada Kunpalin, Luc De Catte, Roland Devlieger, Liesbeth Lewi, Hannes van der Merwe, Francesca Russo, Philippe De Vloo, Jan Deprest
Affiliations
Department of Development and Regeneration, KU Leuven and Department of Obstetrics and Gynaecology, University Hospitals Leuven, Department of Neurosurgery, University Hospitals Leuven
Part of Topic
Fetal Medicine
TITEL: Subsequent fertility, pregnancy, gynaecological and psychological outcomes after maternal-fetal surgery for open spina bifida: a prospective cohort study
Authors: K. Haenen, S. Vergote, Y. Kunpalin, L. De Catte, R. Devlieger, L. Lewi, J. van der Merwe, F. Russo, P. De Vloo, L. Lannoo, J. Deprest
BACKGROUND:
- Open spina bifida (5/10.000 births): motoric and sensoric dysfunction
- Little is known on potential fertility, gynaecological and psychological problems in women undergoing fetal surgery
- Single-centre cross sectional study with mothers who had open fetal surgery between March 2012 - December 2021
- Conducted at the Fetal Medicine Unit of the University Hospitals Leuven
- Survey queried subsequent fertility, pregnancy and gynaecological outcomes
- Open fetal surgery had no long-term adverse effects on fertility
- In 2/16 pregnancies severe complications:uterine rupture and placenta accreta
- ± 50% of respondents reported gynaecological complications, only half of them consulted a physician
- Given that 75% of individuals reported psychological problems related to the index pregnancy, extended psychological support is recommended