An Unusual Encounter With Double Trouble And Triple Threat
European Journal of Molecular & Clinical Medicine,
2020, Volume 7, Issue 8, Pages 3504-3508
AbstractIntroductionThe prevalence of uterine anomalies in an unselected population is 5.5% and in women with history of miscarriages and infertility the prevalence of uterine anomalies is 24.5%. There is increased risk of 25-47% preterm labour and PPROM in women with Congenital uterine anomalies. Only one case has been reported in the world literature with successful VBAC in woman with uterus didelphys with subsequent pregnancy in the same horn. We report a case of VBAC in woman with uterus didelphys with subsequent pregnancy in the same horn with cord prolapse for the first time in the word literature. In a short span of 2 week’s time we had successful vaginal delivery in a woman with Bicornuate uterus and vaginal septum.
Case History 1:A 31-year-old G2P1L1 ,34 +1weeks with previous LSCS known case of uterus Didelphys with GDM on OHA was admitted in Emergency Ward with Cord prolapse. with Double setup in operation theatre VBAC was conducted with outlet forceps. Mother and baby discharged on postnatal day 9.
Case history 2: A 25-year-old primigravida 38 weeks with Bicornuate uterus and vaginal septum, IUI conception was admitted with reduced fetal movements. She was induced with 1 dose of PGE2 gel. She delivered by assisted vaginal delivery. Mother and baby discharged on postnatal day3.
Conclusion:With optimal fetal and maternal surveillance, assisted vaginal delivery and TOLAC could be considered to reduce the complications associated in pregnancy with congenital uterine anomalies.
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