Reproductive performance of women with uterine anomalies. An evaluation of 182 cases

Acta Obstet Gynecol Scand. 1982;61(2):157-62. doi: 10.3109/00016348209156548.

Abstract

A total of 182 women with uterine anomalies were observed over a period of 18 years. In all, 126 women had 265 pregnancies, fetal survival rate was 66%, perinatal mortality 8% and premature labors occurred in 23%. When the uterine anomalies were grouped according to degree of failure of normal and uterine development, the complete septate uteri had the best fetal survival rate (86%), complete bicornuate uteri (50%) and unicornuate (40%) poorest. Cervical cerclage was applied most in the partial bicornuate uteri (17%), where fetal survival in operated cases was: before operation, 53% and after, 100%. The frequency of breech presentation was 40-50% in all groups except complete septate uteri (25%) and complete bicornuate (0%). The highest cesarean section rate (82%) was in deliveries of patients with uterus didelphys. The frequency of cesarean section among total deliveries was 53%. Metroplasty was carried out on 19 patients. The obstetric outcome improved from 10% successful pregnancies before surgery to 88% postoperatively.

Publication types

  • Research Support, Non-U.S. Gov't

MeSH terms

  • Breech Presentation
  • Cesarean Section
  • Female
  • Fetal Death
  • Humans
  • Infant Mortality
  • Infant, Newborn
  • Obstetric Labor, Premature
  • Pregnancy
  • Pregnancy Complications / etiology*
  • Uterus / abnormalities*