Skip to main content Accessibility help
×
Hostname: page-component-f554764f5-nt87m Total loading time: 0 Render date: 2025-04-18T06:17:27.683Z Has data issue: false hasContentIssue false

Case 10 - A 25-Year-Old with an Early Pregnancy and Bicornuate Uterus

from Section 1 - Antepartum (Early Pregnancy)

Published online by Cambridge University Press:  08 April 2025

Peter F. Schnatz
Affiliation:
The Reading Hospital, Pennsylvania
D. Yvette LaCoursiere
Affiliation:
University of California, San Diego
Christopher M. Morosky
Affiliation:
University of Connecticut School of Medicine
Jonathan Schaffir
Affiliation:
The Ohio State University College of Medicine
Vanessa Torbenson
Affiliation:
Mayo Clinic Alix School of Medicine
David Chelmow
Affiliation:
Virginia Commonwealth School of Medicine
Get access

Summary

Congenital anomalies of the female reproductive tract are the result of deviations from normal embryologic development. While diverse in their clinical presentation and associated medical complications, all congenital genitourinary tract abnormalities can impact reproductive health and pregnancy. Uterine anomalies in pregnancy are associated with increased risk of first-trimester pregnancy loss, preterm birth, fetal malpresentation, and poor fetal growth. The degree of risk varies based on the type of uterine anomaly. Obstetric outcomes are usually good and vaginal birth should be encouraged if the fetus is in cephalic presentation and in the absence of any other indication for cesarean section.

Type
Chapter
Information
Pregnancy Complications
A Case-Based Approach
, pp. 29 - 31
Publisher: Cambridge University Press
Print publication year: 2025

Access options

Get access to the full version of this content by using one of the access options below. (Log in options will check for institutional or personal access. Content may require purchase if you do not have access.)

Book purchase

Temporarily unavailable

References

Congenital Genitourinary Abnormalities. In Cunningham, F, Leveno, KJ, Dashe, JS, et al. (eds.). Williams Obstetrics, 26th ed. New York: McGraw Hill. https://accessmedicine-mhmedical-com.proxy.library.vcu.edu/content.aspx?bookid=2977&sectionid=253194215 (accessed September 23, 2024).Google Scholar
Akhtar, MA, Saravelos, SH, Li, TC, Jayaprakasan, K, on behalf of the Royal College of Obstetricians and Gynaecologists. Reproductive Implications and Management of Congenital Uterine Anomalies. Scientific Impact Paper No. 62. BJOG. 2020;127:e1e13.CrossRefGoogle ScholarPubMed
Pfeifer, SM, Attaran, M, Goldstein, J, et al. ASRM Müllerian Anomalies Classification 2021. Fertil Steril. 2021;116(5):12381252.Google ScholarPubMed
ASRM MAC 2021. The Goals of the ASRM Müllerian Anomalies Classification 2021. https://connect.asrm.org/education/asrm-mac-2021/asrm-mac-2021?ssopc=1 (accessed September 23, 2024).Google Scholar
Chan, YY, Jayaprakasan, K, Zamora, J, et al. The Prevalence of Congenital Uterine Anomalies in Unselected and High-Risk Populations: A Systematic Review. Hum Reprod Update. 2011;17:761771.Google ScholarPubMed
Dietrich, JE, Millar, DM, Quint, EH. Non-Obstructive Müllerian Anomalies. J Pediatr Adolesc Gynecol. 2014;27(6):386395. http://dx.doi.org/10.1016/j.jpag.2014.07.001 (accessed September 23, 2024).CrossRefGoogle ScholarPubMed
Chan, YY, Jayaprakasan, K, Tan, A, et al. Reproductive Outcomes in Women with Congenital Uterine Anomalies: A Systematic Review. Ultrasound Obstet Gynecol. 2011;38:371382.Google ScholarPubMed
Hua, M, Odibo, AO, Longman, RE, et al. Congenital Uterine Anomalies and Adverse Pregnancy Outcomes. Am J Obstet Gynecol. 2011;205:558.e1.CrossRefGoogle ScholarPubMed

Save book to Kindle

To save this book to your Kindle, first ensure [email protected] is added to your Approved Personal Document E-mail List under your Personal Document Settings on the Manage Your Content and Devices page of your Amazon account. Then enter the ‘name’ part of your Kindle email address below. Find out more about saving to your Kindle.

Note you can select to save to either the @free.kindle.com or @kindle.com variations. ‘@free.kindle.com’ emails are free but can only be saved to your device when it is connected to wi-fi. ‘@kindle.com’ emails can be delivered even when you are not connected to wi-fi, but note that service fees apply.

Find out more about the Kindle Personal Document Service.

Available formats
×

Save book to Dropbox

To save content items to your account, please confirm that you agree to abide by our usage policies. If this is the first time you use this feature, you will be asked to authorise Cambridge Core to connect with your account. Find out more about saving content to Dropbox.

Available formats
×

Save book to Google Drive

To save content items to your account, please confirm that you agree to abide by our usage policies. If this is the first time you use this feature, you will be asked to authorise Cambridge Core to connect with your account. Find out more about saving content to Google Drive.

Available formats
×