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

Abstract

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.

Twin Pregnancy in Bicornuate Uterus–One Fetus in Each Horn

“…In the current case, the babies were delivered by a double lower segment caesarean section. Twin pregnancies with uterine malformations have a high rate of miscarriage [4], but in the present case, there were no complications and the babies were delivered safely. In some cases, cervical circlage has been tried to prevent the pre-term delivery.…”

Case of successfully delivered dicavitary twins in uterus didelphus

“…At around the 20th week, the septum is reabsorbed, and an arrest in this reabsorption results in uterus didelphus. [4] A systematic review of 3805 women with uterine malformations and a singleton pregnancy showed that those with a uterus didelphys had an increased risk of first trimester miscarriage (RR 1.1), second trimester miscarriage (RR 1.39), preterm birth (RR 3.58) and malpresentation at delivery (RR 3.7) . [5] Such statistics for dicavitary twin cases are currently unknown.…”