Obstetric outcomes in women with mullerian duct malformations

Ramalingappa, Padmasri; Bhatara, Urvashi; Seeri, Jayashree S; Bolarigowda, Priyadarshini

doi:10.5455/2320-1770.ijrcog20140325

Cited by 2 publications

(5 citation statements)

References 30 publications

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“…The prevalence of uterine malformations due to mullerian defects has been reported to range from 4% to 7%, the most common anomaly being bicornuate uterus. 3 This uterine anomaly is associated with increased incidence of fetal malpresentation, preterm deliveries, miscarriages and fetal growth restriction. 3 A bicornuate uterus is also a risk factor for uterine torsion.…”

Section: Discussionmentioning

confidence: 99%

“… 3 This uterine anomaly is associated with increased incidence of fetal malpresentation, preterm deliveries, miscarriages and fetal growth restriction. 3 A bicornuate uterus is also a risk factor for uterine torsion. 4–6 This may be due to unilateral muscular attachments providing decreased stability and allowing increased mobility which puts the uterus at increased risk of torsion.…”

Section: Discussionmentioning

confidence: 99%

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Uterine torsion and subsequent rupture in a gravid bicornuate uterus associated with an elevated alpha-fetoprotein

LaHood¹,

You

2018

BMJ Case Reports

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Uterine torsion is a rare obstetric complication with a non-specific presentation. We describe a patient with a bicornuate uterus and a pregnancy complicated by a markedly elevated second-trimester maternal serum alpha-fetoprotein (MSAFP), intermittent pelvic pain and fetal growth restriction. At 24 weeks gestational age, she presented to labour and delivery with an acute abdomen. A subsequent exploratory laparotomy revealed torsion and rupture of her right uterine horn. Uterine torsion can be difficult to diagnose because it is not associated with specific symptoms or characteristic imaging findings. In patients with a bicornuate uterus who present with abdominal pain, an elevated mid-trimester MSAFP may be a harbinger of placental ischaemia as a result of uterine torsion.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Uterine torsion and subsequent rupture in a gravid bicornuate uterus associated with an elevated alpha-fetoprotein

LaHood¹,

You

2018

BMJ Case Reports

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“…Contritely to [3] this Raga F et al observed much better (51.7% term deliveries and live birth rate of 62%), although there was a considerable rate of miscarriage 33.8%. Whereas in [9] Ramalingappa P et al study preterm deliveries were seen more often with septate uteri. In septate uterus prior resection of septum (complete/incomplete) and restoring uterine cavity are the major determining factor for obstetrical outcome.…”

Section: Discussionmentioning

confidence: 84%

“…[14] This finding is corroborated by Raga et al in their study on uterine anomalies. It is probably the safest anomaly as it has the least effect on reproduction and comes close to a normal [9] pregnancy.…”

Section: Discussionmentioning

confidence: 99%

“…[3] Similar finding were also seen in study of Raga F et al and . [11] Butt F et al Septate uterus is strongly associated with an adverse [9] pregnancy outcome due to impact on uterine capacity and the arrangement of uterine musculature (and may [12] consequently cause cervical incompetence). We had two patients of septate uterus with pregnancy.…”

Section: Discussionmentioning

confidence: 99%

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Reproductive Outcome in Women Having Congenital Uterine Anomalies: A Retrospective Study

Kanani¹,

Mehta

2022

PIJR

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Background: Congenital uterine anomalies result from failure of or incomplete development, fusion or canalisation of one or both Mullerian ducts during foetal life. [1] These anomalies are often asymptomatic and unrecognized, until menarche or starting of reproductive life. The spectrum of uterine anomalies ranges from an arcuate uterus, uterine didelphys , unicornuate , bicornuate, t-shaped and septate uterus.[3] Pregnancy occurs in many women despite these anomalies. The complication rates with pregnancy are considerably increased; complications include intrauterine fetal growth restriction, fetal malposition, preterm labor, preterm premature rupture of membrane and malpresentation (breech) [21]. Not surprisingly, the rate of caesarean delivery is markedly higher. [4] Thus we want to conduct a systematic review to evaluate the association between the different subtypes of uterine anomaly and various clinical presentations and reproductive outcomes. This study was carried out retrospectively in 52 patients Method: that were in the age group of 12-38 years and having congenital uterine anomalies and presenting with either primary or secondary infertility / amenorrhoea, bad obstetrical history, recurrent abortions, preterm deliveries and ectopic pregnancies using consecutive sampling. All patients were evaluated and investigated further including reproductive & perinatal outcome. Data were analyzed regarding type of uterine anomalies and their reproductive performance. Results & Conclusion: Results of study shows that patients with uterine anomalies have higher rates of reproductive loss, preterm deliveries, that increase obstetric intervention and perinatal mortality.

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Obstetric outcomes in women with mullerian duct malformations

Cited by 2 publications

References 30 publications

Uterine torsion and subsequent rupture in a gravid bicornuate uterus associated with an elevated alpha-fetoprotein

Uterine torsion and subsequent rupture in a gravid bicornuate uterus associated with an elevated alpha-fetoprotein

Reproductive Outcome in Women Having Congenital Uterine Anomalies: A Retrospective Study

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