TITLE:
Uterine Didelphys in a Pregnant Mother
AUTHORS:
Omeed Paknejad, Dana Bryant, Carla Peterkin, Wendy Wilcox
KEYWORDS:
Uterine Didelphys and Pregnancy, Uterine Anomaly and Pregnancy
JOURNAL NAME:
Open Journal of Obstetrics and Gynecology,
Vol.8 No.13,
November
13,
2018
ABSTRACT: Background: Uterine Didelphys is a rare congenital condition and it can affect both mother and fetus.
A 24 year-old patient presented to the emergency room with pelvic pain and a
pelvic ultrasound confirmed the presence of Uterine Didelphys. She subsequently became
pregnant and was first seen at 21 weeks
gestation. She was designated as a high-risk patient during the second trimester when she experienced irregular contractions. She was
monitored weekly with Non-Stress Tests and eventually was delivered by Cesarean
Section. Uterine Didelphys can be detected in-utero in affected individuals, and
clinical findings vary among individuals. Some may be asymptomatic,
whereas others will experience dyspareunia, and still others may present
with concurrent renal agenesis. Serial sonograms are performed throughout their
pregnancy to evaluate fetal growth and well-being, as well as cervical length. Unlike
many uterine anomalies, Uterine Didelphys does not affect fertility but can
affect labor, fetal growth, placentation, fetal viability and fetal outcome. Uterine Didelphys frequently results in recurrent
miscarriages and may cause preterm labor and necessitate cesarean section. The presentation, associated symptoms, methods of detection and
management options for Uterine Didelphys will be discussed.