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 Pregnancy in bicornuate uterus

2017 ◽  
Vol 7 (1) ◽  
pp. 346
Author(s):  
D. Borgohain ◽  
Shubhi Srivastava
Keyword(s):  
Successful Outcome ◽  
Septate Uterus ◽  
Bicornuate Uterus ◽  
Unicornuate Uterus ◽  
Mesonephric Duct ◽  
Embryonic Life ◽  
History Of ◽  
Uterine Malformations ◽  
The Subject ◽  
Growth Restrictions

The incidence of the uterine malformations is estimated to be 3% to 5% in the general population. Abnormal fusion of the mesonephric duct (Mullerian duct) during embryonic life results in a variety of congenital uterine malformations like septate uterus, unicornuate uterus, and bicornuate uterus. Fertility and evolution of pregnancy depends on the type of uterine anomaly. Many of them are asymptomatic but it is important to consider this diagnosis in recurrent miscarriages, preterm labours, malpresentations, and intrauterine growth restrictions. We are presenting a 22-years-old pregnant woman with a history of abortion. The patient was not diagnosed with a bicornuate uterus in her first pregnancy. However, she was diagnosed with a bicornuate uterus based on the findings of ultrasound in the present pregnancy. A successful caesarean section was performed on the subject in the 39th week of gestation. According to the results, successful outcome could be achieved in patients with bicornuate uterus.

scholarly journals Rotura Uterina às 18 Semanas de Gravidez no Contexto de Útero Malformado

2016 ◽  
Vol 29 (10) ◽  
pp. 667
Author(s):  
Emídio Vale-Fernandes ◽  
Neusa Teixeira ◽  
Alexandra Cadilhe ◽  
Maria José Rocha
Keyword(s):  
Uterine Rupture ◽  
Female Genital Tract ◽  
Obstetric Outcomes ◽  
Placenta Increta ◽  
Abnormal Placentation ◽  
History Of ◽  
Uterine Malformations ◽  
The Right ◽  
Congenital Uterine Anomaly ◽  
Female Genital

Birth defects of the female genital tract are relatively common and often asymptomatic. Despite the pregnancy outcome can be favorable, adverse obstetric outcomes are described in women with uterine malformations. The authors report the case of an obstetric emergency which enhances the possibility of a very adverse and rare outcome of uterine rupture in a left hemi-cavity of a bicornuate uterus away from the term, at 18 weeks of pregnancy, in a pregnant woman with history of caesarean in the right hemi-cavity and with placenta increta. A malformed uterus with a primitive type cavity has lower distensibility of the wall with the progression of the pregnancy and facilitates the development of abnormal placentation forms, increasing the risk of uterine rupture in the first and second trimesters. The knowledge of the existence of a congenital uterine anomaly in the preconceptional period is of primary importance.

scholarly journals Factors affecting the fetal & maternal outcome in a trial of labour after previous one caesarean section

2019 ◽  
Vol 10 (2) ◽  
pp. 1110-1117
Author(s):  
Aseel Ghazi Rifat
Keyword(s):  
Caesarean Section ◽  
Gestational Age ◽  
Mode Of Delivery ◽  
Cross Sectional Study ◽  
Safe Alternative ◽  
Cross Sectional ◽  
Factors Affecting ◽  
Fetal Complications ◽  
History Of ◽  
Maternal Bmi

This study was designed to evaluate maternal and obstetrical factors associated with a successful trial of labour after one caesarean section (TOLAC) as well as evaluating the associated fetal and maternal outcomes and to determine the rate of vaginal delivery and repeated C/S. A prospective cross-sectional study was done on 237 women with previous one C/S then patients were selected for the trial of labour based on the department protocol. Those who were chosen for TOL were strictly monitored & observed for the progress of labour and the outcomes were recorded in terms of mode of delivery, maternal & fetal complications and were analysed and compared with those who had repeated C/S. Seventy-three (30.8%) patient was delivered by elective C/S without trial, 109 (46%) of the patients who were admitted to labour room delivered vaginally while 55 (23.2%) delivered by emergency C/S. It has been found that maternal BMI of (<25), history of vaginal birth after C/S (VBAC) and smaller gestational age were significantly associated with the success of TOL and can predict the outcome. Higher maternal & fetal complications rates were reported in cases delivered by emergency C/S compared to those who delivered vaginally or through elective C/S. The trial of labour after one caesarean section is a safe alternative to repeated C/S and decreases the associated morbidities with repeated C/S. The success rate of TOLAC reported in this study was (66.5%). A successful TOLAC is associated with normal maternal BMI, smaller gestational age and history of the previous VBAC.

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.

Anencephaly and obstetric outcome beyond the age of viability

2018 ◽  
Vol 46 (8) ◽  
pp. 885-888 ◽  
Author(s):  
Sawsan Al-Obaidly ◽  
Jis Thomas ◽  
Mahmoud Abu Jubara ◽  
Abdullah Al Ibrahim ◽  
Mariam Al-Belushi ◽  
...  
Keyword(s):  
Caesarean Section ◽  
Gestational Age ◽  
Mode Of Delivery ◽  
Retrospective Chart Review ◽  
Shoulder Dystocia ◽  
Obstetric Outcomes ◽  
Average Birth Weight ◽  
Increased Risk ◽  
History Of ◽  
Uterine Scar

AbstractObjectiveTo review the obstetric impact and natural history of anencephalic pregnancies beyond the age of viability.Study designA retrospective chart review of all cases with a prenatal diagnosis of anencephaly who delivered after 24 weeks’ gestation during the period 1990 until 2016. Obstetric outcomes including mode of delivery, live births, shoulder dystocia, antepartum haemorrhage (APH), postpartum haemorrhage (PPH) and uterine rupture were studied.ResultsA total of 42 cases were studied. The average gestational age at diagnosis was 22 weeks (range 10–41). The average gestational age at birth was 36 weeks (range 25–44 weeks). Induction of labour was performed in 55% (23/42) of the cases. Livebirths were documented in 40% (17/42) of the cases. The average birth weight was 1597±746 g. The rate of vaginal birth was 69% (29/42), the overall rate of caesarean section was 31% (13/42), with a primary caesarean section in 31% (4/13) and a repeat caesarean section in 69% (9/13) of the patients. There were two cases of shoulder dystocia. No other complications were encountered.ConclusionOverall, anencephaly is not associated with an increased risk of obstetric complications; however, there is a tendency towards delivery via repeated caesarean section in women with a previous uterine scar and anencephaly. The prenatal counselling of potential obstetric outcomes could be of robust value for parents who opt to continue with anencephalic pregnancies.

scholarly journals ACHIEVING PREGNANCY IN A CASE OF BICORNUATE UTERUS WITH ABSENT LEFT KIDNEY WITH HISTORY OF RESECTION OF LONGITUDINAL VAGINALSEPTUM: A CASE REPORT

2020 ◽  
Vol 4 (6) ◽  
Author(s):  
Tushar Tattyaba Palve ◽  
Qazi Jaweria Amber
Keyword(s):  
Luteal Phase ◽  
Left Kidney ◽  
Reproductive Outcome ◽  
Vaginal Septum ◽  
Bicornuate Uterus ◽  
Recurrent Miscarriages ◽  
Intrauterine Growth ◽  
History Of ◽  
Uterine Malformations ◽  
Growth Restrictions

 The incidence of uterine malformations in general population is estimated to be about 3-5% and 5-10% in women with poor reproductive outcome. Fertility and evolution of pregnancy depends on the type of uterine anomaly. Many of them are asymptomatic but it is important to consider this diagnosis in vaginal septum ,hematocolpus ,recurrent miscarriages - early and late, preterm labours, malpresentations, intrauterine growth restrictions and menstrual disturbances like menorrhagia, dysmenorrhea. Septate and arcuate uterus represents approximately 75% of malformations while bicornuate, didelphys and unicornuate comprise the remaining 25%. Cases of pregnancy in a bicornuate uterus are still of sufficient interest and rarity to justify being reported. We report a case of bicornuate uterus with absent left kidney who presented as hematocolpos due to longitudinal vaginal septum in 2017.A diagnostic hysterolaproscopy with resection of septum was done patient again followed up with infertility in 2019. Patient then conceived on follicular monitoring and planned relation with luteal phase support.

Case Report: Management of a Patient with mTBI and Vestibular Hypofunction with the Binasal Occlusion Technique

2018 ◽  
pp. 87-90
Keyword(s):  
Case Report ◽  
Visual Motion ◽  
Hand Movement ◽  
Motion Sensitivity ◽  
Vestibular Hypofunction ◽  
First Case ◽  
Neurological Exam ◽  
History Of ◽  
Occlusion Technique ◽  
Visual Vertigo

Background: Binasal Occlusion (BNO) is a clinical technique used by many neurorehabilitative optometrists in patients with mild traumatic brain injury (mTBI) and increased visual motion sensitivity (VMS) or visual vertigo. BNO is a technique in which partial occluders are added to the spectacle lenses to suppress the abnormal peripheral visual motion information. This technique helps in reducing VMS symptoms (i.e., nausea, dizziness, balance difficulty, visual confusion). Case Report: A 44-year-old AA female presented for a routine eye exam with a history of mTBI approximately 33 years ago. She was suffering from severe dizziness for the last two years that was adversely impacting her ADLs. The dizziness occurred in all body positions and all environments throughout the day. She was diagnosed with vestibular hypofunction and had undergone vestibular therapy but reported little improvement. Neurological exam revealed dizziness with both OKN drum and hand movement, especially in the left visual field. BNO technique resulted in immediate relief of her dizziness symptoms. Conclusion: To our knowledge, this is the first case that illustrates how the BNO technique in isolation can be beneficial for patients with mTBI and vestibular hypofunction. It demonstrates the success that BNO has in filtering abnormal peripheral visual motion in these patients.

Scales and Units

2018 ◽  
Author(s):  
Kathryn M. de Luna
Keyword(s):  
Language Change ◽  
Historical Linguistics ◽  
Bantu Languages ◽  
The North ◽  
First Case ◽  
Linguistic Evidence ◽  
River Region ◽  
History Of ◽  
Alternative Approaches

This chapter uses two case studies to explore how historians study language movement and change through comparative historical linguistics. The first case study stands as a short chapter in the larger history of the expansion of Bantu languages across eastern, central, and southern Africa. It focuses on the expansion of proto-Kafue, ca. 950–1250, from a linguistic homeland in the middle Kafue River region to lands beyond the Lukanga swamps to the north and the Zambezi River to the south. This expansion was made possible by a dramatic reconfiguration of ties of kinship. The second case study explores linguistic evidence for ridicule along the Lozi-Botatwe frontier in the mid- to late 19th century. Significantly, the units and scales of language movement and change in precolonial periods rendered visible through comparative historical linguistics bring to our attention alternative approaches to language change and movement in contemporary Africa.

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 Immediate post partum macular subretinal bleeding in a highly myopic patient: a case report

2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Karen Bitton ◽  
J.-L. Bacquet ◽  
F. Amoroso ◽  
S. Mrejen ◽  
M. Paques ◽  
...  
Keyword(s):  
Valsalva Maneuver ◽  
Post Partum ◽  
Pathologic Myopia ◽  
Pathological Myopia ◽  
Case Presentation ◽  
Sudden Loss ◽  
Corrected Visual Acuity ◽  
First Case ◽  
History Of ◽  
Macular Hemorrhage

Abstract Background Pathologic myopia is a major cause of visual impairment and blindness. Case presentation We report a case of an immediate post partum macular subretinal bleeding observed in a highly myopic patient. A 30-years-old woman presented two days after childbirth for sudden loss of vision in her right eye. Multimodal imaging showed macular hemorrhage masking a subtle yellowish linear lesion corresponding to lacker crack. Due to the lack of evidence for choroidal neovascularization, a simple clinical and imaging monitoring was recommended. Six weeks later, we noted an improvement in her best-corrected visual acuity and a decreased in size of the macular hemorrhage. Conclusions This is the first case reporting a macular subretinal bleeding on macular lacquer cracks in a highly myopic patient in immediate post partum. Valsalva maneuver associated with vaginal delivery could explain the occurrence of the hemorrhage associated with lacquer crack. However, natural history of pathological myopia could not be excluded.

Sign in / Sign up

Export Citation Format

Share Document