Pregnancy after oocyte donation in 45, X Turner syndrome women, complicated by gestational diabetes and polyhydramnios. Case report and mini-review of literature

Gynecol Endocrinol. 2016 Aug;32(8):609-611. doi: 10.3109/09513590.2016.1153057. Epub 2016 Mar 4.

Abstract

Patients suffering from Turner syndrome (TS) demonstrate characteristic clinical features, with a short stature and gonadal dysgenesis causing infertility in most patients. Spontaneous pregnancies in women with TS are quite rare and pregnancy outcomes involving an increased risk of miscarriage and stillbirths are observed. In this case report, we present a 28 years old pregnant woman with the diagnosis of TS. Due to hypergonadotrophic hypogonadism, she was proposed an in vitro fertilization (IVF) program with an oocyte donor from unrelated anonymous women. After the second transfer, implantation occurred. In the 24th week of gestation, gestational diabetes class 1 was diagnosed. In the 31st week of gestation, polyhydramnios was diagnosed, although other parameters were reassuring. Considering the polyhydramnios, along with the diagnosis of Turner syndrome in the mother, we decided to perform an elective cesarean section. Subsequently, a healthy term male was born. For most women with the diagnosis of TS, the only way to become pregnant is through oocyte donation. The aim of this work was to characterize the course of pregnancy in TS patient and review literature addressing this issue.

Keywords: Oocyte donation; Turner syndrome; pregnancy.

Publication types

  • Case Reports
  • Review

MeSH terms

  • Adult
  • Cesarean Section*
  • Diabetes, Gestational*
  • Embryo Transfer*
  • Female
  • Humans
  • Live Birth*
  • Oocyte Donation*
  • Polyhydramnios* / epidemiology
  • Pregnancy
  • Turner Syndrome*