Successful outcome of pregnancy in bicornuate uterus: a case report

Choudhary, Suman; Jelly, Prasuna; Mahala, Prakash

doi:10.18203/2320-1770.ijrcog20194387

Cited by 3 publications

(3 citation statements)

References 6 publications

(6 reference statements)

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“…8 Furthermore, exclusive breastfeeding comprises antibodies that help fight against bacteria and viruses and it plays a vital role in providing immunity to neonate. [9][10][11] Studies also show that adapting alternative and complimentary therapies would be more beneficial in caring mothers during perinatal period, but midwives are not using in current scenario. 12 There are several models which used in effective maternity care (Figure 2).…”

Section: The Midwife's Model Of Care Includesmentioning

confidence: 99%

Models of maternity care: a continuity of midwifery care

Choudhary¹,

Jelly

Mahala

2020

Int J Reprod Contracept Obstet Gynecol

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Pregnancy and birth are significant life events for women and their families and midwife supports a woman throughout pregnancy, birth and the postnatal period. So, the demand for services that are family friendly, women focused, safe and accessible is increasing. Evidence has shown that midwifery care is associated with lower cost, higher satisfaction rates among women, and less intervention. Because pregnancy and childbirth involve every part of feelings, physical and practical needs, hopes, religious and spiritual beliefs can all affect pregnancy and birth. So, model of maternity care addresses all these aspects to help give birth safely, naturally and confidently. The aim of this review is how midwives working in different model care constructed their midwifery role in order to maintain a positive work-life balance. Evidence from high income countries found such models to be a cost-efficient way to improve health outcomes, reducing medical interventions and increasing satisfaction with care.

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Section: The Midwife's Model Of Care Includesmentioning

confidence: 99%

Models of maternity care: a continuity of midwifery care

Choudhary¹,

Jelly

Mahala

2020

Int J Reprod Contracept Obstet Gynecol

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“…В литературе описано несколько случаев аналогичного успешного родоразрешения с удвоением матки в доношенном сроке [9,10], в том числе роды двойней, первый ребенок из которой родился через естественные родовые пути [11], а также успешный исход беременности в контралатеральном теле матки после разрыва «соседнего» [12]. Общая частота доношенных беременностей у пациенток с некоррегированными пороками развития матки составляет 50% [13].…”

Section: Introductionunclassified

5. Successful realization of reproductive function in woman with uterus didelphys

Startseva,

Kiryushchenkov,

Devyatova

et al. 2023

WHAR

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Aim. Demonstration of a clinical case of twice successfully completed surgical delivery in a patient with uterus didelphys. Key points. Uterus didelphys is the result of an embryological violation of the Muller ducts fusion process. It is associated with a deterioration in the reproductive function of a woman. Despite the significant correlation of uterine development abnormalities with infertility and miscarriage, this article demonstrates a clinical case of both functional uterine bodies in complete uterus doubling. And the second successfully completed pregnancy was in the hemiuterus with the presence of a scar from perforation of the right body. It should also be noted that both pregnancies occurred naturally. Conclusion. This clinical case demonstrates the possibility of spontaneous occurrence and termination of pregnancy with favorable maternal and perinatal outcomes in women with uterus didelphys. Key words: complete doubling of the uterus, reproductive function, cesarean section.

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“…A bicornuate uterus is a major cause of spontaneous abortion [ 3 ]. Based on the partition of the cervix, it is divided into bicornuate unicollis and bicornuate bicollis.…”

Section: Introductionmentioning

confidence: 99%

A Case Report of a Normal Pregnancy in a Bicornuate Uterus Through In Vitro Fertilization

Agarwal¹,

Tayade²,

Sharma³

2022

Cureus

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The case report has been done to examine the possibility of normal pregnancy achieved in the case of a rare congenital anomaly, the bicornuate uterus. A bicornuate uterus is a very rare congenital anomaly of the uterus, which falls in the class 4 category according to the classification of Mullerian duct anomalies given by the American Society of Reproductive Medicine and is associated with several obstetrics complications like malpresentation, recurrent abortions, and growth restrictions. However, to have a normal pregnancy in a bicornuate uterus, close antenatal monitoring is required, and, depending on the individual, surgical unification can be done. A 30-year-old woman with G3A2 with 34.3 weeks of gestational age with in vitro fertilization (IVF) conception came with cervical stitch in situ and oligohydramnios with liquor index 7 for safe confinement. At the time of admission, amenorrhea was present for nine months. Ultrasound at 33 weeks three days showed a single uterine live fetus weighing about 2187 grams. The interpretation of the color Doppler was also normal. Fetal heart sound was heard in the Doppler. She was operated on at 36 weeks as an emergency lower-section cesarean section procedure. The indication was that it was an IVF baby, and the female had presented with oligohydramnios on performing investigations. The patient was counseled accordingly and discharged on 22 February 2022. She was advised to come back after 15 days or SOS at the time of emergency. All the measures were suggested, including adequate rest, plenty of fluids, and a good protein diet. Most cases of the bicornuate uterus do not present with any symptoms, i.e., they are asymptomatic and can be detected during routine evaluation of the patient. However, some patients can also have symptoms like menstrual problems such as dysmenorrhea and menorrhagia. Also, along with this anomaly, associated anomalies may be present, including agenesis of the kidney and ureter. The first and foremost investigation to be done is ultrasonography, which tells about the diagnosis of the bicornuate uterus. Magnetic resonance imaging is the gold standard test for its diagnosis. However, the diagnosis in the case of asymptomatic patients is relatively tricky and requires aggressive prenatal monitoring and needs to be kept in observation to make the pregnancy successful.

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Successful outcome of pregnancy in bicornuate uterus: a case report

Cited by 3 publications

References 6 publications

Models of maternity care: a continuity of midwifery care

Models of maternity care: a continuity of midwifery care

5. Successful realization of reproductive function in woman with uterus didelphys

A Case Report of a Normal Pregnancy in a Bicornuate Uterus Through In Vitro Fertilization

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