Pregnancy Associated With Congenital Malformations of the Reproductive Tract

Blair, Robert G.

doi:10.1111/j.1471-0528.1960.tb06948.x

Cited by 15 publications

(3 citation statements)

References 14 publications

(1 reference statement)

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“…Delivery of twin gestation, one in each horn of class U3b uterus, is a rare condition as it is usually associated with complications which make reaching full term challenging such as miscarriage, malpresentation, placental abruption, preterm delivery, and fetal death [ 7 ], so a high index of suspicion is needed for early diagnosis of such cases, because about 68% of the patients with uterine anomalies are recognized while in actual labor [ 9 ] as in this case, and such cases require close observation during the prenatal period to avoid complications.…”

Section: Discussionmentioning

confidence: 99%

Successful Delivery of Twin Pregnancy in Class U3b/C2/V1 Uterus by Bilateral Caesarean Section after Spontaneous Conception

El-Masry

Ossman

Elnamoury

2015

Case Reports in Obstetrics and Gynecology

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A case of a 19-year-old female with class U3b/C2/V1 uterus conceived a twin pregnancy with a fetus in each horn after spontaneous conception. She referred to our department with presentation of premature rupture of membranes, with a history of cesarean delivery of a single full term living fetus a year and a half before this delivery. Examination revealed two completely separate uterine horns with a fetus in each horn, two distinct externally rounded cervices, and a single vagina with a short nonobstructing vaginal septum in the upper part of the vagina. And as the appropriate mode of delivery is still unclear, each case should be managed as the condition requires, and in our case urgent bilateral caesarean sections were performed.

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Section: Discussionmentioning

confidence: 99%

Successful Delivery of Twin Pregnancy in Class U3b/C2/V1 Uterus by Bilateral Caesarean Section after Spontaneous Conception

El-Masry

Ossman

Elnamoury

2015

Case Reports in Obstetrics and Gynecology

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“…A persistent transverse vaginal septum does not appear to be linked to obstetric complications such as pregnancy loss, fetal anomalies, or premature delivery, or to urinary-tract malformations similar to those associated with longitudinal defects. [3][4][5][6][7][8] During labor, a transverse vaginal septum may result in significant vaginal lacerations during vaginal delivery or obstructed labor resulting in rupture uterus.…”

Section: Discussionmentioning

confidence: 99%

“…2 These defects are much less common than midline longitudinal defects. [3][4][5][6][7][8] Any defect in the normal organogenesis involving the urogenital sinus or the Mü llerian duct can result in genitaltract anomalies. Embryologically, the lower two thirds of the vagina develop from the urogenital sinus.…”

Section: Discussionmentioning

confidence: 99%

Transverse Vaginal Septum in Labor

Malhotra

Bhuria

Nanda

et al. 2013

Journal of Gynecologic Surgery

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Background: Transverse vaginal septa are rare anomalies that may be diagnosed for the first time during labor. Case: A 29-year-old nulliparous woman without a prior appointment, who had been married for 11 years, presented with labor pains at 39 weeks of gestation. On examination, she was diagnosed as having a transverse vaginal septum with a pinpoint septal opening. Emergency cesarean section, followed by dilatation of the septum, was performed. Results: The postoperative period was uneventful. Conclusions: To avoid obstructed labor and injuries to the patient, prophylactic cesarean section is recommended in patients presenting with transverse vaginal septum in labor, especially in women who have conceived after a long period of infertility. ( J GYNECOL SURG 29:207)

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