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Exstrophy-epispadias sequence is an uncommon diagnosis in which surgical reconstruction has increased quality of life for these patients. As they are entering the reproductive phase of their life, consideration must be made for management of their pregnancies in the context of their genitourinary reconstruction. There have been few case reports of patients with cloacal exstrophy conceiving; therefore, information to guide management of their pregnancies is limited. Here we describe a patient with OmphaloceleExstrophy-Imperforate Anus-Spinal defects (OEIS) and a patient with a history of bladder exstrophy both with spontaneous pregnancy managed by a multidisciplinary approach and primary cesarean delivery. University of Iowa Hospitals and Clinics, Department of Obstetrics and Gynecology, Iowa City, Iowa Medical College of Georgia, Augusta University, Division of Gynecologic Oncology, Augusta, GA University of Iowa Hospitals and Clinics, Department of Obstetrics and Gynecology, Division of Urogynecology and Reconstructive Pelvic Surgery, Iowa City, Iowa University of Iowa Hospitals and Clinics, Department of Obstetrics and Gynecology, Division of Maternal Fetal Medicine, Iowa City,

Management of pregnancy in patients with exstrophy-epispadias sequence: a case series and literature review