Maira Montes suffers from a rare genetic disease, Rokitansky syndrome, which affects one in every 5,000 women and makes motherhood impossible because those who suffer from it lack a uterus. On January 2, however, this woman was able to give birth at the Hospital Clínic (Barcelona) to a healthy child who weighed 2.9 kilos at birth and who was named Manuel. The little boy has become the second child born to a woman with a uterus transplant in Spain, after another woman with the same transplant gave birth in March 2023. At that time, the mother had the same disease as Montes and wanted to fulfill what he wanted. In order to have children, he received his sister’s womb.
The process was made possible by the uterus transplant that Maira received in April 2022, whose donor was her own mother, who is the grandmother of the child. The intervention was led by the head of the gynecology service, Francisco Carmona, and the head of the urology and renal transplant service, Antonio Alcaraz. There are some changes in the surgical technology compared to the first uterus transplant because the team has an exoscope, a high magnification lens, and a high image definition.
Two months after receiving her mother’s uterus, Maira had her first period, and soon the fertilization process began, after which she had a completely normal pregnancy, according to reports from the clinic. Of course, she had to give birth by cesarean section at week 37. Vaginal birth is not considered for women with a uterus transplant because it would put the organ at risk.
“This operation is one of the most complex there is, and we have shown not once but twice that we can do it with good results,” emphasized Alcaraz, head of the Urology and Renal Transplant service, on Tuesday.
The birth takes place within the framework of an experimental program at the Clínic for uterus transplantation in cases of Rokitansky syndrome, which are women born without a uterus or fallopian tubes, but with ovaries. Within the framework of this program, the first uterus transplant was performed in Spain in October 2020, resulting in the aforementioned first child born from a uterus transplanted in this country in 2023. In the world, there are more than fifty case since, in 2013, the team of Dr. Mats Brännström, from the Sahlgrenska University Hospital of the University of Gothenburg (Sweden), performed the first uterus transplant that led to the birth of a child in 2014.