Unilateral Singleton Pregnancy with Rural Vaginal Delivery in a Woman with Uterus Didelphys

• 作者: Adewale Adegbenro Justin Desrochers Kalun Boudreau
• 来源期刊: 妇产科期刊(英文)
• 学科: 医学
• 关键词: PREGNANCY Delivery UTERUS Didelphys Didelphys UTERUS Müllerian DUCT ANOMALY
• 年，卷（期）: fckqkyw_2017,（6）
• 页码范围: 639-648
• 页数: 10页
• 分类号: R73

摘要

Background: Uterus didelphys is a Müllerian duct anomaly which is clinically significant because only 45% of UD patients achieve term delivery and have associated increased risk of spontaneous abortion, foetal growth retardation, mal presentation, and a significant caesarean section delivery rate. Case: A 26-year-old Gravida 2 Para 1 Abortion 1 woman with uterus didelphys and associated complete, non-communicating, longitudinal vaginal septum carries a pregnancy to term in her right uterus in rural Canada. She delivers her baby at 41 weeks gestational age via vacuum assisted spontaneous vaginal delivery. Conclusion: This case report supports more recent literature that uterus didelphys should not be considered as an absolute indication for caesarean delivery. A trial of labour is conceivable with obstetrician gynaecologist involvement in more rural centers with a care plan in place.