Uterine didelphys and vaginal birth after cesarean delivery.

Abstract

BACKGROUND:

Müllerian anomalies are associated with adverse pregnancy outcomes. We discuss pregnancy in anomalous uteri, with a focus on uterine didelphys, in the setting of a prior cesarean delivery.

CASE(S):

A 30-year-old woman, gravida 2 para 1001, presented in latent labor at 40 1/7 weeks of gestation. Her first pregnancy was in the right horn of a didelphic uterus and resulted in a cesarean delivery in the setting of chorioamnionitis remote from delivery. The current pregnancy was in the left horn and resulted in a vacuum-assisted vaginal delivery after spontaneous labor.

CONCLUSION:

There is sparse literature on a trial of labor after cesarean delivery in a uterine didelphys.

• Authors: Gary Altwerger, Ashley M Pritchard, Jonathan D Black, Anna K Sfakianaki
• Journal: Obstetrics and gynecology (Obstet Gynecol) Vol. 125 Issue 1 Pg. 157-159 (Jan 2015) ISSN: 1873-233X [Electronic] United States
• PMID: 25560118 (Publication Type: Case Reports, Journal Article)

Topics

• Adult
• Female
• Humans
• Pregnancy
• Trial of Labor
• Uterus (abnormalities)
• Vacuum Extraction, Obstetrical
• Vaginal Birth after Cesarean