scholarly journals Spontaneous Twin Pregnancy in Uterus Bicornis Unicollis

2013 ◽  
Vol 2013 ◽  
pp. 1-3 ◽  
Author(s):  
Arzu Doruk ◽  
Ilay Gozukara ◽  
Güneş Burkaş ◽  
Esin Bilik ◽  
Talat Umut Kutlu Dilek
Keyword(s):  
Caesarean Section ◽  
Three Dimensional ◽  
Rare Occurrence ◽  
Premature Rupture ◽  
Bicornuate Uterus ◽  
Uterine Malformation ◽  
Spontaneous Labour ◽  
Mullerian Ducts ◽  
Uterus Bicornis ◽  
Congenital Uterine Malformation

Abnormal fusion of the Müllerian ducts or failure of resorption of the septum causes varying degrees of congenital uterine malformation. They are often associated with reproductive problems such as miscarriage, premature labour, premature rupture of the membranes, or malpresentation. Twin gestation in a case of bicornuate uterus is extremely rare. A 37-year-old multiparous woman conceived a twin dichorionic diamniotic pregnancy spontaneously. Three-dimensional ultrasound revealed bicornuate uterus with one embryo in each cavity. Perinatal course was uneventful. At 35 weeks of pregnancy, spontaneous labour started and twin babies were delivered by bilateral low transvers caesarean section. Because of the rare occurrence of twin gestation in bicornuate uterus, there is no uniform guideline to manage these cases appropriately. Delivery by planned caesarean section could avoid the possible obstetric complications by dystocia.

Successful Delivery of a Twin Pregnancy in a Bicornuate Uterus (Uterus Bicornis Unicollis) by Bilateral Caesarean Section

2011 ◽  
Vol 33 (2) ◽  
pp. 142-144 ◽  
Author(s):  
Mireia Cruceyra ◽  
Carlos Iglesias ◽  
María De La Calle ◽  
Marta Sancha ◽  
Sara López Magallón ◽  
...  
Keyword(s):  
Caesarean Section ◽  
Twin Pregnancy ◽  
Bicornuate Uterus ◽  
Uterus Bicornis

scholarly journals Embryological basis of malformed female genital tract and various classifications

2014 ◽  
Vol 03 (03) ◽  
pp. 150-158
Author(s):  
Richa Niranjan ◽  
A K Singh ◽  
Anjoo Yadav
Keyword(s):  
Management Strategies ◽  
Female Genital Tract ◽  
Mullerian Duct ◽  
Bicornuate Uterus ◽  
Müllerian Duct ◽  
Uterine Malformation ◽  
Müllerian Duct Anomalies ◽  
Mullerian Ducts ◽  
Mullerian Duct Anomalies ◽  
Duct Development

AbstractDevelopmental anomalies of the Mullerian duct system represent some of the most fascinating disorders that obstetricians and gynaecologists encounter. The uterus is formed during embryogenesis by the fusion of the two paramesonephric ducts (Mullerian ducts). This process usually fuses the two Mullerian ducts into a single uterine body, but fails to take place in the affected women who maintain their double Mullerian systems. A bicornuate uterus is a type of a uterine malformation where upper part of uterus forms two horns. The fusion process of upper part of Mullerian duct is altered. As a result, cranial part of the uterus becomes bifurcated. As Mullerian duct anomalies are of anatomic interest, this article discusses epidemiology, embryological development, genetics of development and malformation and lastly various classifications based on Mullerian duct development. Pregnancy in bicornuate uterus is usually of high risk with reproductive outcomes like recurrent abortions, preterm delivery or malpresentation. Classifying Mullerian duct anomalies bears merit because it correlates anatomic anomalies with arrests in morphogenesis. Establishing an accurate diagnosis is essential for planning treatment and management strategies.

scholarly journals Uterine Fundus Remodeling after Hysteroscopic Metroplasty: A Prospective Pilot Study

2021 ◽  
Vol 10 (2) ◽  
pp. 260
Author(s):  
Paolo Casadio ◽  
Giulia Magnarelli ◽  
Mariangela La Rosa ◽  
Andrea Alletto ◽  
Alessandro Arena ◽  
...  
Keyword(s):  
Wall Thickness ◽  
Transvaginal Ultrasound ◽  
Three Dimensional ◽  
Second Step ◽  
Septate Uterus ◽  
Uterine Malformation ◽  
Uterine Septum ◽  
Uterine Fundus ◽  
Congenital Uterine Malformation

The septate uterus is the most common congenital uterine malformation and is treated by hysteroscopic metroplasty. There are few studies on the fundal uterine changes that occur after surgery. We designed a pilot prospective observational study to evaluate by three-dimensional transvaginal ultrasound (3D-TVS) the changes not only of the internal fundal uterine profile, but also of the external one, after hysteroscopic metroplasty. Sixty women who underwent hysteroscopic metroplasty for partial or complete uterine septum (U2a and U2b subclasses of ESHRE/ESGE classification) were enrolled. We performed 3D-TVS after surgery confirming optimal removal of the septum. However, at ultrasound follow-up after three months, we observed a significant increase (p < 0.001) in the residual septum (Zr) (3.7 mm (95% CI: 3.1–4.4)), the myometrial wall thickness (Y) (2.5 mm (95% CI: 2.0–3.0)) and the total fundal wall thickness (Y + Zr) (6.2 mm (95% CI: 5.5–6.9)). Forty-three patients (72%) required a second step of hysteroscopic metroplasty. Moreover, the shape of uterine fundus changed in 58% of cases. We actually observed a remodeling of the uterine fundus with modifications of its external and internal profiles. Therefore, we propose to always perform a second ultrasound look at least three months after the metroplasty to identify cases that require a second- step metroplasty.

scholarly journals Three-dimensional Ultrasonography in the Diagnosis of Müllerian Duct Anomalies

2009 ◽  
Vol 3 (1) ◽  
pp. 21-30 ◽  
Author(s):  
Carmina Bermejo ◽  
Rocío Cantarero ◽  
Dolores Díaz ◽  
Eva Labrador ◽  
Laura Ruiz López
Keyword(s):  
Mr Imaging ◽  
Three Dimensional ◽  
Uterine Cavity ◽  
Kappa Index ◽  
Septate Uterus ◽  
Imperforate Hymen ◽  
Bicornuate Uterus ◽  
Uterine Malformation ◽  
Uterine Malformations ◽  
3D Ultrasonography

Abstract Aims We studied the effectiveness of three-dimensional (3D) ultrasonography in the diagnosis of uterine malformations. Methods 175 patients with clinical or ultrasonographic suspicion of uterine malformation were studied between November 2004 and June 2008. In all women we measured uterine volume for processing and later reconstruction of 3D images. Cases in which no anomaly was detected with the 3D technique were excluded from study. A thorough physical genital examination with speculum was done before or after ultrasonography, except in three women with an imperforate hymen. Uterine malformations were recorded in detail, and the findings were catalogued according to the American Fertility Society (AFS) classification. In 32 women magnetic resonance (MR) imaging was also used, and agreement between the two techniques was calculated with the kappa index. Results The 175 müllerian anomalies we analyzed were diagnosed as agenesis (1 case), unicornuate uterus (1 genuine, 1 communicating), didelphys uterus (4), bicornuate uterus (22), septate uterus (80, 8 with two cervices) and arcuate uterus (68). For 1 unicornuate, 3 bicornuate, 25 septate (4 with two cervices) and 3 arcuate uteri we performed MR imaging. Diagnostic correlation between 3D ultrasonography and MR imaging was obtained in all cases according to the AFS classification (kappa = 100%); concordance was also seen for descriptions of associated uterine malformations except for two cases: 1 bicornuate uterus with the additional presence of a cervical septum as detected by MR imaging, which was not found on hysteroscopy for resection, and 1 septate uterus that appeared to have two cervices on 3D ultrasonography in a patient in whom physical examination was not possible, and in whom MR imaging showed a complete septum with hypointense signals (kappa = 93.45%; 95% confidence interval 80.75- 100%). Discussion Owing to its ability to clearly render contours of anatomical structures, 3D ultrasonography provides detailed images of uterine malformations and yields very similar results to those obtained with MR imaging. For an accurate comparison of the two techniques, ultrasonography should be accompanied by gynecologic physical exploration, since the two methods yield equivalent results for the relation between the uterine cavity and the fundus. MR imaging is especially useful to evaluate the cervix and vagina.

scholarly journals Successful vaginal delivery of spontaneously conceived twins in each horn of a bicornuate uterus with previous caesarean: a case report

2019 ◽  
Vol 8 (11) ◽  
pp. 4581
Author(s):  
Farhat Mazhari ◽  
Arpita De ◽  
Reva Tripathi
Keyword(s):  
Mode Of Delivery ◽  
Obstetric Outcomes ◽  
Bicornuate Uterus ◽  
First Case ◽  
Spontaneous Labour ◽  
Fetal Complications ◽  
History Of ◽  
Uterus Bicornis ◽  
Uterine Malformations ◽  
Previous Cesarean

Mullerian duct fusion anomalies resulting in uterine malformations have prevalence of 3-4%. Among this, bicornuate uterus has a rare incidence of 0.4%. Uterine malformations pose significant threat in terms of obstetric outcomes. We report an extremely rare case of spontaneous conception of twin pregnancy with the fetus occupying each horn of a bicornuate uterus (bicornis unicollis), in a woman with a history of previous caesarean section. She was booked at our hospital and the pregnancy remained uneventful. At 35 weeks she went into spontaneous labour and delivered vaginally without any maternal-fetal complications. The case is unique and the management is worth discussing as till date no protocols or guidelines have been proposed for the mode of delivery of bicornuate uterus with twins with previous cesarean.  Only 12 cases of twins with bicornuate uterus have been reported till date. This is the first case in literature in which a successful VBAC has been conducted in a woman with bicornuate uterus with twins with previous caesarean.

scholarly journals A Unique Case of Twin Gestation in Subseptate Uterus after Spontaneous Conception

2015 ◽  
Vol 7 (3) ◽  
pp. 216-217
Author(s):  
Anjali Kawthalkar ◽  
Bhavna Kumare ◽  
Nikita R Vijay
Keyword(s):  
South Asian ◽  
Congenital Abnormalities ◽  
Rare Occurrence ◽  
Premature Labor ◽  
Premature Rupture ◽  
Unique Case ◽  
Spontaneous Conception ◽  
Mullerian Ducts ◽  
Uterine Malformations

ABSTRACT Abnormal fusion of the müllerian ducts or failure of absorption of the septum during embryological life results in a variety of congenital uterine malformations. These congenital abnormalities are associated with abortions, premature labor, premature rupture of the membranes and malpresentation. We are reporting the rare occurrence of spontaneous twin gestation in a woman with subseptate uterus. How to cite this article Vijay N, Kawthalkar A, Kumare B. A Unique Case of Twin Gestation in Subseptate Uterus after Spontaneous Conception. J South Asian Feder Obst Gynae 2015;7(3):216-217.

scholarly journals Postpartum femoral neuropathy: managing the next pregnancy

2019 ◽  
Vol 12 (12) ◽  
pp. e232967 ◽  
Author(s):  
Cathy Rowland ◽  
Daniel Kane ◽  
Maeve Eogan
Keyword(s):  
Caesarean Section ◽  
Motor Function ◽  
Lower Limb ◽  
Elective Caesarean Section ◽  
Mode Of Delivery ◽  
Primiparous Woman ◽  
Limb Weakness ◽  
Femoral Neuropathy ◽  
Lower Limb Weakness ◽  
Spontaneous Labour

A 34-year-old primiparous woman presented in spontaneous labour and had an unassisted vaginal birth of a 3.5 kg infant. Postnatally, the patient experienced lower limb weakness and was unable to mobilise unassisted. A diagnosis of postpartum femoral neuropathy was made. Full recovery of normal motor function was not achieved until 5 months postpartum. She returned in her next pregnancy, seeking advice on how to avoid this complication from reoccurring. It was decided that an elective caesarean section was an appropriate mode of delivery, which she underwent at 39 weeks without complication and without recurrence of the femoral neuropathy.

scholarly journals Risk factors for surgical site infections after caesarean section at Yaounde, Cameroon

2021 ◽  
Vol 10 (11) ◽  
pp. 4048
Author(s):  
Pierre M. Tebeu ◽  
Aurelien Kamdem ◽  
Jean P. Ngou-Mve-Ngou ◽  
Esther Meka ◽  
Jesse S. S. Antaon ◽  
...  
Keyword(s):  
Risk Factors ◽  
Caesarean Section ◽  
Surgical Site Infections ◽  
Biomedical Sciences ◽  
Midline Incision ◽  
Premature Rupture Of Membranes ◽  
Premature Rupture ◽  
Cross Sectional ◽  
Factors Associated ◽  
Chi Squared

Background: Surgical site infection is the invasion by microorganisms of the tissue layers affected by the surgical procedure. Maternal morbidity from infections has been shown to be higher after caesarean section compared to the vaginal delivery. Objective of the research was to analyze the risk factors associated with surgical site infections after caesarean section.Methods: This was a cross sectional (affected/non affected) study approved by the institutional committee for ethics and research of the faculty of medicine and biomedical sciences. A total of 310 medical files were assessed, 62 files from patients with surgical site infections and 248 files from patients without any complications. The data was collected using a pretested questionnaire and analyzed using the statistical package for the social sciences (SPSS) software version 22.0. The Chi squared and the Fisher exact tests were used to assess homogeneity between the 2 groups. Odd ratio 95% confidence interval was used to assess the association between the variables.Results: The proportion of surgical site infections during the study was 1.81%. Factors associated with surgical site infections were premature rupture of membranes (OR: 2.065; 95% CI 1.051-4.05; p=0.035); the vertical midline incision (OR=5.26; 95% CI; 1.41-19.57; p=0.013) and a operation by a resident physician doctor (OR=1.98; 95% CI 1.09-3.59; p=0.02).Conclusions: A factors associated with surgical site infections after caesarean section are a premature rupture of membranes, vertical midline incision and the qualification of the practitioner.

ABNORMAL UTERUS A CAUSE FOR MISCARRIAGE

2021 ◽  
pp. 27-29
Author(s):  
Stella Peter ◽  
Supriya Peter
Keyword(s):  
Birth Defect ◽  
Pregnancy Loss ◽  
Recurrent Pregnancy Loss ◽  
Normal Development ◽  
Surgical Intervention ◽  
Normal Functioning ◽  
Baby Girl ◽  
Uterine Malformation ◽  
Mullerian Ducts ◽  
Uterine Malformations

Some women have a congenital uterine abnormality, which is a womb/uterus that is formed in an unusual way before birth. Uterine malformations occur due to a birth defect. In the womb, female infants develop two separate halves of their uterus that merge together before birth. If the two halves fail to merge completely, the woman may be born with a malformed uterus. Uterine malformations make up a diverse group of congenital anomalies that can result from various alterations in the normal development of the Mullerian ducts. It has been found that the prevalence of uterine abnormality is estimated to be 6.7% among general population. About 18% of women who have recurrent miscarriages have some type of uterine abnormality. Uterine conditions don't always show signs or symptoms until one tries to conceive. When a baby girl is developing in the womb, two small tubes call Mullerian ducts come together to form her uterus. For some baby girls, the Mullerian ducts don't come together completely. Symptoms range from amenorrhea, infertility, recurrent pregnancy loss, and pain, to normal functioning depending on the nature of the defect. A uterine malformation that does not usually cause symptoms does not usually require treatment. However, if the malformation if causing problems, then surgery will be considered. Surgical intervention aims to x the malformation and can often be performed laparoscopically with a hysteroscope.

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