Uterine Didelphys in a Pregnant Mother - Open Journal of Obstetrics and Gynecology

OJOG > Vol.8 No.13, November 2018

Uterine Didelphys in a Pregnant Mother ()

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DOI: 10.4236/ojog.2018.813143 4,071 Downloads 15,568 Views Citations

Author(s)

Omeed Paknejad^1,2, Dana Bryant^2*, Carla Peterkin², Wendy Wilcox²

Affiliation(s)

¹Saint George’s University School of Medicine, St. George, Grenada.
²New York City Health and Hospitals Corporation: Kings County Hospital Obstetrics, Gynecology, and Women’s Health, Brooklyn, NY, USA.

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.

KEYWORDS

Uterine Didelphys and Pregnancy, Uterine Anomaly and Pregnancy

Share and Cite:

Paknejad, O. , Bryant, D. , Peterkin, C. and Wilcox, W. (2018) Uterine Didelphys in a Pregnant Mother. Open Journal of Obstetrics and Gynecology, 8, 1423-1430. doi: 10.4236/ojog.2018.813143.

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