PREGNANCY OUTCOME IN A UNICORNUATE UTERUS: A CASE REPORT

*Dr. Parto Ghasemidehkordi

ABSTRACT

Defects of uterine shape and development during intrauterine life causes congenital uterine anomalies. 2.4 to 13% of Müllerian anomalies are due to unicornuate uterus. It is often associated with increased risk of intrauterine growth restriction (IUGR), breech presentation, preterm premature rupture of membranes, cesarean section, placenta pervia, placental abruption, and preterm birth. Here is a case of a 27-year-old primigravida with 39 weeks and 1 day of gestation presented with lower abdominal pain. An emergency lower segment cesarean (LSCS) section was successfully performed due to fetal distress. While performing the cesarean section it was observed that the uterus was unicornuate. A live male baby of 3kg birth weight was extracted. Even though the unicornuate uterus is responsible for inimical maternal and fetal outcomes in pregnant women, a successful pregnancy is possible. 2-dimensional and 3- dimensional ultrasound scanning can be done prior to delivery for diagnosis and further management of these anomalies.

Keywords: Pregnancy outcome, congenital müllerian malformations, uterine anomalies, pregnancy unicornuate uterus, urogenital abnormalities.