Obstetric Characteristics in Women with Congenital Uterine Anomalies who Gave a Live Birth

Abstract

OBJECTIVE: We retrospectively analyzed previous maternal obstetric characteristics as well as obstetric characteristics regarding the current pregnancy in thirty three consecutive pregnant patients with congenital uterine anomalies (CUA) who gave birth to a live baby at Hacettepe University Faculty of Medicine, Department of Obstetrics and Gynecology between 2005 and 2013.
STUDY DESIGN: Descriptive statistics were used to describe previous maternal obstetric characteristics as well as the outcome of the successful pregnancy among different types of CUA. According to the severity of the CUA, we additionally grouped the sample into two; as minor and major mullerian fusion defect groups (mFD and MFD). We compared obstetric characteristics between these groups.
RESULTS: We identified 33 patients with CUA. Among these; 14 (42,4%) were identified as septate; 6 (%18,2) as bicornuate, 7 (%21,2) as arcuate, 4 (%12,1) as didelphic, and 2 (%6,1) as unicornuate uterus. In 32 subjects the delivery procedure was caesarean section. The mFD and MFD groups were not statistically different in terms of maternal gravida, parity, dilatation and curettage (D&C) and abortion
history. Besides, the two groups were similar in terms of gestational week of birth, birth weight and type of fetal presentation.
CONCLUSION: Previous studies emphasize that the type of mullerian anomaly is one of the determinants of pregnancy outcome in women with CUA. However, we show that, this is not the case in women with CUA who gave birth to a live baby. Our results suggest that, type of the mullerian anomaly - if the anomaly allows a live birth - may lose its' predictive value on negative obstetric consequences.