Key result
Cesarean section successfully delivers healthy twins at 34 weeks in a complete septate uterus.
Why the study?
Multiple pregnancies in patients with uterine abnormalities carry an increased risk of complications, and due to the rarity of this problem, recommendations to guide management and delivery planning are lacking.
Case Report (n=1)
Highlights the successful management of a rare case of twin pregnancy in a patient with a complex Mullerian abnormality.
Answers are grounded in this paper and cite their sources.
Successful twin delivery in septate uterus supports individualized care; leaves open optimal strategies pending larger series.
Pregnancy occurring in patients with uterine malformations need to be managed with care as they are at risk of developing adverse outcomes. Multiple pregnancies in patients with uterine abnormalities further increase the risk of complications. Due to the rarity of this problem, there are no recommendations to guide and plan the management of these patients. Delivery planning is also tricky and needs to be individualised as either mode of delivery can be associated with complications. We discuss the management of a twin pregnancy in a primigravida (conceived after ovulation induction) with Mullerian abnormality- Septate uterus with co-existent septate cervix; ESHRE type U-2B C-1.
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Raman et al. (2021) conducted a case report in Twin pregnancy in bicorporeal septate uterus with co-existent septate cervix (n=1). Antenatal management and lower segment cesarean section was evaluated on Delivery outcome. A 27-year-old primigravida with a twin pregnancy in a complete septate uterus and septate cervix successfully delivered healthy twins weighing 1.6 kg each via cesarean section at 34 weeks.
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