scholarly journals Successful deliveries in a case of spontaneous pregnancy in ‘uterus bicornis unicollis’ with dicavitory twin gestation: a rare case report

Author(s):  
Priyanka Koteswararao Sureddi ◽  
Rachana Deepak Dalmia ◽  
Sunil Eknath Tambvekar ◽  
Umesh Vishnu Athavale

Congenital anomalies of the uterus cervix and vagina are caused by alterations in development or fusion of the Mullerian ducts and are associated with multiple obstetric problems. A 32-year-old primigravida presented with spontaneous conception of dichorionic diamniotic twin with one twin in the right horn and another in the left horn of a bicornuate uterus. At 31.4 weeks of gestation the patient presented with preterm premature rupture of membranes followed by preterm labour, and progressed to deliver vaginally, resulting in the successful delivery of a live twin male and female baby. Spontaneous twin pregnancies in case of uterus bicornis unicollis are reported rarely. Here we discuss an extremely rare occurrence of spontaneous dicavitatory twin pregnancy in uterus bicornis unicollis and its outcome.

2021 ◽  
Author(s):  
Shuwei Zhou ◽  
Yajun Yang ◽  
XiaoYan Zhang ◽  
Xiaoling Mu ◽  
Quan Quan ◽  
...  

Abstract Objective: To describe the perinatal outcomes of twin pregnancies with preterm premature rupture of membranes (PPROM) before 34 weeks’ gestation and identify factors associated with discharge without severe or moderate-severe neonatal morbidity.Methods: This study was conducted as a retrospective analysis of twin pregnancies with PPROM occurring at 24 0/7 to 33 6/7 weeks’ gestation. Perinatal outcomes were assessed by gestational age (GA) at PPROM. Factors associated with discharge without severe or moderate-severe neonatal morbidity were identified using logistic regression analysis.Results: Of the 180 pregnancies (360 foetuses), only 17 (9.4%) women remained pregnant 7 days after PPROM. There were 10 (2.8%) cases of prenatal or neonatal death; 303 (84.2%) and 177 (49.2%) neonates were discharged without severe or moderate-severe morbidity, respectively. As GA at PPROM increased, the adverse obstetric and neonatal outcomes decreased, especially after 32 weeks. The GA at PPROM and latency period were both significantly associated with discharge without severe or moderate-severe neonatal morbidity. Pregnancy complications and 5-min Apgar score < 7 increased severe neonatal morbidity.Conclusion: As GA at PPROM increased, the risk of adverse perinatal outcomes decreased. GA at PPROM and latency period were significantly associated with discharge without severe or moderate-severe neonatal morbidity.


2008 ◽  
Vol 21 (8) ◽  
pp. 555-557 ◽  
Author(s):  
Stephanie V. Trentacoste ◽  
Claudel Jean-Pierre ◽  
Rebecca Baergen ◽  
Stephen T. Chasen

2016 ◽  
Vol 06 (03) ◽  
pp. e277-e282 ◽  
Author(s):  
Olivia Myrick ◽  
Matthew Grace ◽  
Tracy Manuck ◽  
Kim Boggess ◽  
William Goodnight ◽  
...  

2016 ◽  
Vol 10 (2) ◽  
Author(s):  
Razia Ashraf ◽  
Asma Gul ◽  
Rabia Noor ◽  
Saqib Siddique

A Total of selected 50 Patients with Multiple Pregnancy were Studied. The aim of the study was to see the complications of multiple gestation. It was concluded from the results that most common complication is Preterm labour (54%) anemia (38%) Pregnancy induced hypertension (32%) Preterm Premature rupture of membranes (12%) and antepartum haemmorhge in (6%). Fetal Complications were prematurity and low birth weight.


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