A Prospective Study on Obstetric Performance in Uterine Anomalies

Developmental anomalies of the mullerian ducts represent some of the most fascinating disorders that the obstetricians and gynecologists encounter. Incidence varies between0.110%.Our objective is to study the incidence and reproductive outcome in women with uterine anomalies. Reproductive performance of 74 women with uterine anomalies delivered in Modern Government and Maternity Hospital (MGMH), Petlaburj over a period of 1.5 yrs from Jan 2009-Aug 2010 is analyzed. Total deliveries during the period were 34416. Uterine anomalies were 74(0.25%). Bicornuate uteri were 40(54.05%), unicornuate 12(16.25%), septate 9(12.16%), arcuate 10(13.5%) and didelphys were 3(4.05%). Primigravidae were 37 (50%). Mal-presentation was the commonest indication (50%) for caesarean section followed by Prolonged labor, Impending scar dehiscence, Previous lower segment caesarean section and fetal distress. To conclude women with uterine anomalies have increased incidence of pregnancy wastage like abortions, preterm deliveries and stillbirths. High index of suspicion for uterine anomalies in the reproductive age group prevents dreaded complications and improves obstetric outcome in these women.