Challenges Faced With Caesarean Section In A Bicornuate Uterus- A Case Report
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Menopause, Mental health, Hormonal fluctuations, Mood disorders, Anxiety, DepressionAbstract
A type of Mullerian anomaly known as a bicornuate uterus is characterised by an incomplete fusion of mullerian ducts, which results in the formation of two uterine cavities. American society of Reproductive medicine 2021 has classified mullerian anomalies into seven types, out of which bicornuate uterus being 4th type is again subclassified into type A and B. ‘A’ being complete and ‘B’ being partial.
The frequency of congenital uterine malformation is approximately five percent in the general population, and the bicornuate being approximately ten percent of total. It is seen with 5-10% of patients with recurrent miscarriages.
The bicornuate uterus is associated with worse reproductive outcomes like recurrent abortions, preterm labour, intrauterine growth restrictions and malpresentations. (9) In most of the cases, patients are asymptomatic and are diagnosed during pregnancy. Pregnancy in a previously scarred bicornuate uterus has a possibility to be succeeded by the risk of abruption, uterine rupture, and foetal death. We present the instance of a patient who was successfully managed in this manner.
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References
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