USMLE Step 2 CK Lecture Notes 2019: Obstetrics/Gynecology (Kaplan Test Prep)

(Kiana) #1

to have no negative effects on pregnancy with regard to preterm labor or
malpresentation.


DES Uterus


The daughters of mothers exposed to diethylstilbestrol (DES) during pregnancy
are predisposed to uterine abnormalities and clear cell carcinoma of the vagina.


The mechanism by which DES disrupts normal uterine development is not
known.


>70%    have    abnormalities,  including   a   small,  incompletely    formed  uterus
(“hypoplastic”) and/or a T-shaped cavity.
50% have cervical defects (e.g., an incompletely formed cervix that
predisposes to cervical insufficiency).
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