What question did this study set out to answer?

This case series aims to discuss the pregnancy outcomes and clinical management in patients with distinct Müllerian anomalies.

April 30, 2026Open Access

Pregnancy Outcomes in Three Distinct Uterine Anomalies: A Case Series

Key Points

This case series aims to discuss the pregnancy outcomes and clinical management in patients with distinct Müllerian anomalies.
Presented three cases of Müllerian anomalies involving variables like uterine type and delivery method.
Individualized surveillance was employed, including ultrasound monitoring and cervical length assessment.
Clinical outcomes were assessed based on anomaly type, delivery mode, and maternal neonatal health.
Case 1 with uterine didelphys had a fetal heart rate issue, leading to cesarean delivery at 37 weeks and 6 days.
Case 2 with a unicornuate uterus required scheduled cesarean at 38 weeks due to persistent breech presentation.
Case 3 involved a partial septate uterus and chronic hypertension, delivered by cesarean at 37 weeks and 3 days with favorable outcomes.

Abstract

This case series presents three patients with distinct Müllerian anomalies, highlighting variability in diagnosis, clinical management, and obstetric outcomes. Case 1 involved uterine didelphys with pregnancy in the right hemi-uterus, resulting in non-reassuring fetal heart rate tracings, prompting repeat cesarean delivery at 37 weeks' and six days' gestation. Case 2 involved a unicornuate uterus with a noncommunicating rudimentary horn and persistent breech presentation, requiring a scheduled cesarean delivery at 38 weeks' gestation. Case 3 involved a partial septate uterus associated with breech presentation and chronic hypertension, managed with cesarean delivery at 37 weeks' and three days' gestation. These cases highlight variability in clinical presentation and management across anomaly subtypes. All patients underwent individualized surveillance, including serial growth ultrasounds, cervical length monitoring, and antepartum testing, with favorable maternal and neonatal outcomes.

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