{Reference Type}: Case Reports
{Title}: Pregnancy after chemoradiotherapy in childhood: Complications and recommendations - about one case.
{Author}: Verhaeghe C;Decanter C;Sudour H;Defachelles AS;Escande A;Grabarz A;Garabedian C;Debarge V;
{Journal}: J Gynecol Obstet Hum Reprod
{Volume}: 50
{Issue}: 1
{Year}: Jan 2021
{Factor}: 2.156
{DOI}: 10.1016/j.jogoh.2020.101947
{Abstract}: The question of pregnancy prognosis after radio chemotherapy is unaddressed. We report here the case of three successive spontaneous pregnancies 17 years after the management of a thigh rhabdomyosarcoma treated by radiochemotherapy. In 2018 the patient aged 22 presented with a spontaneous miscarriage. In 2019, she obtained a new spontaneous pregnancy. At 21 W G, she presented with threatened late miscarriage and gave birth to a live girl who would die. Three months after delivery, she had spontaneous pregnancy. At 18 W G, emergency cervical cerclage was performed. At 35 W G the ultrasound found severe intrauterine growth retardation. Cesarean section was performed allowing the birth of a girl in good health status. Childbirth was complicated by 1L8 postpartum hemorrhage secondary to uterine atony, controlled after surgical revision. To conclude, pregnancy in a patient with a history of pelvic irradiation in childhood must be considered high-risk pregnancy and its management must be multidisciplinary.