A rare case of successful twin pregnancy in bicorporeal septate uterus with co-existent septate cervix

Authors

  • Srimathy Raman Department of Obstetrics and Gynecology, Rangadore Memorial Hospital, Shankarapuram, Bangalore, Karnataka, India
  • Shreelakshmi Gururaj Department of Obstetrics and Gynecology, Rangadore Memorial Hospital, Shankarapuram, Bangalore, Karnataka, India
  • Ashwini J. Authreya Department of Obstetrics and Gynecology, Rangadore Memorial Hospital, Shankarapuram, Bangalore, Karnataka, India
  • Padmalatha Venkataram Department of Obstetrics and Gynecology, Rangadore Memorial Hospital, Shankarapuram, Bangalore, Karnataka, India

DOI:

https://doi.org/10.18203/2320-1770.ijrcog20211548

Keywords:

Multiple pregnancy, Uterine malformation, Bicorporeal uterus, Septate cervix, Delivery

Abstract

Pregnancy occurring in patients with uterine malformations need to be managed with care as they are at risk of developing adverse outcomes. Multiple pregnancies in patients with uterine abnormalities further increase the risk of complications.  Due to the rarity of this problem, there are no recommendations to guide and plan the management of these patients. Delivery planning is also tricky and needs to be individualised as either mode of delivery can be associated with complications. We discuss the management of a twin pregnancy in a primigravida (conceived after ovulation induction) with Mullerian abnormality- Septate uterus with co-existent septate cervix; ESHRE type U-2B C-1.

References

Schöller D, Rall K, Brucker S. Congenital malformations, J of Obs. And Gynec. 2016;49(11):865-78.

Fox NS, Roman AS, Stern EM, Gerber RS, Saltzman DH, Rebarber A. Type of congenital uterine anomaly and adverse pregnancy outcomes. J Matern Fetal Neonatal Med. 2014;27(9):949-53.

Shim S, Hur YM, Kim DH, Seong SJ, Kim ML, Shin JS. Evidence for No Significant Impact of Müllerian Anomalies on Reproductive Outcomes of Twin Pregnancy in Korean Women. Twin Res Hum Genet. 2016;19(2):146-53.

Heinonen PK. Twin pregnancy in the congenital malformed uterus. J Obstet Gynaecol. 2016;36(5):571-3.

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Published

2021-04-23

Issue

Section

Case Reports