Background

Complex anorectal malformations (ARMs) are a group of rare congenital malformations involving numerous anomalies that require reconstruction and can affect sexuality, fertility, and pregnancy outcomes. Few cases of pregnancy in complex ARM patients have been reported.

Cases

We report on 2 patients with ARMs who delivered 3 term infants, all by cesarean section with successful collaboration between pediatric urologists and obstetricians. Both patients fully recovered with no long-term consequences after experiencing maternal morbidities including urinary infections, clitoral abscesses, vaginal lacerations, extensive adhesive disease, bladder injury, and maternal hemorrhage.

Summary and Conclusion

In managing pregnancies and deliveries in women with complex ARMs, coordination between obstetricians, pediatric urologists, and pediatric surgeons is crucial.

中文翻译：

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2名患有复杂肛门直肠畸形的妇女的妊娠结局：挑战和考虑因素

背景

复杂的肛门直肠畸形（ARMs）是一组罕见的先天性畸形，涉及许多需要重建的畸形，并且可能影响性，生育力和妊娠结局。很少有复杂的ARM患者怀孕的案例报道。

案例

我们报告了2名患有ARM的患者，他们均通过剖宫产分娩了3个足月婴儿，而儿科泌尿科医生和妇产科医生已成功合作。两名患者在经历了包括尿路感染，阴蒂脓肿，阴道撕裂伤，广泛的粘连性疾病，膀胱损伤和产妇出血在内的孕产妇疾病后，都完全康复，没有长期后果。

总结与结论

在管理具有复杂ARM的妇女的妊娠和分娩中，妇产科医生，儿科泌尿科医师和儿科外科医生之间的协调至关重要。