Журнал клинических случаев

Term Pregnancy in a Case of Complete Bicornoute Uterus Presenting with Obstructed Labour: A Case Report

Abstract

Gumanga K Solomon, Adgar Aburiya, Ayobi A Rahman and Nanguo Vittalis

Major uterine malformations negatively impacts on outcome of pregnancy and in very severe cases there is impairment of menstrual function. Term pregnancy with live birth in women major malformations of the uterus is possible but may be associated with complications. A case report of a 30 year old woman G4P1+2, with history of one previous caesarean section who presented with a transverse lie and obstructed labour at 41 weeks plus 2 days in December 2013 is presented. She had an urgent caesarean section performed when she presented as emergency after absconding from an elective caesarean section at 39 weeks plus 2 days. A complete bicornuate uterus with normal tubes and ovaries were among the finding at caesarean section. The puerperium was normal for both mother and baby. It was a live birth at term from a pregnancy in a uterus with a major uterine malformation.

Successful pregnancies with live births at term in a complete bicornuate uterus after previous pregnancy losses are possible as seen in this case reported. However poor health seeking behavior and harmful practices during pregnancy and labour an in woman with major malformation of the uterus can result in serious maternal and fetal complications.