Vaginal birth after two previous caesarean deliveries in a patient with uterus didelphys and an interuterine septal defect
| Autor: | Jonathan Ratzersdorfer, Yaakov Abdelhak, Njoki Ng'ang'a |
|---|---|
| Rok vydání: | 2017 |
| Předmět: |
medicine.medical_specialty
medicine.medical_treatment Uterus Article 03 medical and health sciences Young Adult 0302 clinical medicine Pregnancy Medicine Humans Caesarean section 030212 general & internal medicine Cesarean Section Repeat reproductive and urinary physiology Ultrasonography 030219 obstetrics & reproductive medicine business.industry Obstetrics Pregnancy Outcome General Medicine medicine.disease Magnetic Resonance Imaging Vaginal Birth after Cesarean Uterus didelphys medicine.anatomical_structure Fetal Malpresentation External cephalic version Urogenital Abnormalities Vagina Gestation Female business |
| Zdroj: | BMJ case reports. 2017 |
| ISSN: | 1757-790X |
| Popis: | Uterus didelphys is a congenital abnormality characterised by double uteri, double cervices and a double or single vagina that affects 0.3% to 11% of the general female population. A 23-year-old woman, gravida 3 para 3003, with uterus didelphys, acquired an iatrogenic interuterine septal defect during an otherwise routine primary caesarean delivery for fetal malpresentation. The defect was repaired but noted to have dehisced during her second pregnancy. A repeat caesarean section was performed due to fetal malpresentation after an unsuccessful external cephalic version. The dehisced defect was left unrepaired. During her third pregnancy, the placenta implanted in the right uterus, but the fetus migrated to the left uterus at approximately 28 weeks gestation. The umbilical cord traversed the interuterine septal defect. With the fetus in the vertex presentation at term gestation, the patient underwent a vaginal birth after two previous caesarean deliveries without any major perinatal complications. |
| Databáze: | OpenAIRE |
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