Twin Pregnancy in Bicornuate Uterus–One Fetus in Each Horn

Ilyas, Mohd; Dar, Mehraj U. Din; Rafiq, Suhail; Khan, Insha

doi:10.1007/s40556-018-0156-4

Cited by 4 publications

(3 citation statements)

References 9 publications

(11 reference statements)

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“…The prevalence of congenital anomalies of uterus associated with pregnancy ranges between 0.1% to 3%. 2 The commonest congenital uterine anomalies are bicornuate uterus and septate uterus, whereas uterus didelphys and unicornuate uterus being the least common among all malformations.…”

Section: Discussionmentioning

confidence: 99%

Pregnancy outcome in a bicornuate uterus with bilateral pregnancy presenting as threatened abortion: a case report

Acharyya

Gohain

Morang

2021

Int J Reprod Contracept Obstet Gynecol

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Section: Discussionmentioning

confidence: 99%

Pregnancy outcome in a bicornuate uterus with bilateral pregnancy presenting as threatened abortion: a case report

Acharyya

Gohain

Morang

2021

Int J Reprod Contracept Obstet Gynecol

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“…There may associated vaginal anomalies like septum which may be longitudinal or transverse [7]. The anomalies may of different degrees with either fully developed or under developed and each with separate fallopian tube and endometrial cavity [8,9]. Both uterine horns achieve a pregnancy at the same time when double ovulation has taken place (Figure 4).…”

Section: Dicavitary Multiple Pregnancymentioning

confidence: 99%

Types of Multiple Pregnancy

Mashamba¹

2023

Multiple Pregnancy - New Insights

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Multiple pregnancy is condition where more than one offsprings are formed. This result from either fertilization of more than one ovum individually by separate sperms or division of fertilized ovum. The implantation sites may be in different part of the genital organs and even the peritoneal cavity. The physiology of monozygotic multiple pregnancy is not fully understood as the trigger has not yet been identified. The incidence of multiple pregnancy is increasing, and this is as a result of assisted reproductive technologies.

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“…A bicornuate uterus is a rare congenital uterine malformation. A mere 16 cases of twin pregnancy associated with a bicornuate unicollis uterus have been reported worldwide, and most of these were delivered with a cesarean section [ 9 , 10 ].…”

Section: Introductionmentioning

confidence: 99%

Peripartal management of dichorial twin pregnancy in a bicornuate bicollis uterus: a case report and review of the literature

Schubert,

Tihon,

Andresen

et al. 2024

J Med Case Reports

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Introduction The management of a pregnancy in a bicornuate uterus is particularly challenging. A bicornuate uterus is a rare occurrence and a twin pregnancy in a bicornuate uterus even more rare. These pregnancies call for intensive diagnostic investigation and interdisciplinary care. Case presentation We report on a 27-year-old European woman patient (gravida I, para 0) with a simultaneous pregnancy in each cavity of a bicornuate bicollis uterus after embryo transfer. The condition was confirmed by hysteroscopy and laparoscopy. Several unsuccessful in vitro fertilization (IVF) attempts had been performed earlier before embryo transfer in each cornus. After a physiological course of pregnancy with differential screening at 12 + 6 weeks and 22 + 0 weeks of gestation, the patient presented with therapy-resistant contractions at 27 + 2 weeks. This culminated in the uncomplicated spontaneous delivery of the leading fetus and delayed spontaneous delivery of the second fetus. Discussion Only 16 cases of twin pregnancy in a bicornuate unicollis uterus have been reported worldwide and only 6 in a bicornuate bicollis uterus. The principal risks in such pregnancies are preterm labor, intrauterine growth restriction, malpresentation and preeclampsia. These typical risk factors of a twin pregnancy are greatly potentiated in the above mentioned setting. Conclusion A twin pregnancy in the presence of a uterine malformation is rare and difficult to manage. These rare cases must be collected and reported in order to work out algorithms of monitoring and therapy as well as issue appropriate recommendations for their management.

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Twin Pregnancy in Bicornuate Uterus–One Fetus in Each Horn

Cited by 4 publications

References 9 publications

Pregnancy outcome in a bicornuate uterus with bilateral pregnancy presenting as threatened abortion: a case report

Pregnancy outcome in a bicornuate uterus with bilateral pregnancy presenting as threatened abortion: a case report

Types of Multiple Pregnancy

Peripartal management of dichorial twin pregnancy in a bicornuate bicollis uterus: a case report and review of the literature

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