A uterus didelphys with a spontaneous labor at term of pregnancy: a rare case and a review of the literature

Abstract

Uterus didelphys accounts for 13% of uterine anomalies and has been correlated with preterm delivery and fetal malpresentation at delivery. A 37-year-old pregnant woman reported a spontaneous pregnancy in the right horn of a uterus didelphys. The course of the pregnancy was complicated by gestational diabetes, but no miscarriage threat or preterm delivery threat was reported during this pregnancy. She arrived at our division, in labor, at 39.2 gestational weeks’. She delivered by cesarean section due to failure to progress at 5 cm. Her post-operative course was uneventful. Vaginal delivery could be a safe option and the induction of labor or the use of oxytocin could be helpful in such cases, but recommended doses and labor time should be evaluated, so cesarean section is to date the most frequent delivery route in uterus didelphys at term.

Challenges in Diagnosing and Managing Uterus Didelphys: A Case Report

“…Uterus didelphys, with an estimated prevalence of 0.3%, represents a rare congenital anomaly. [12][13][14] The normal embryological development of the genital ducts involves the mesonephric (Wolffian…”