Delivery in a pregnant woman with a bicornuate uterus and a scar after cesarean section
Babich T.Yu., Sulima A.N., Baskakov P.N., Suleymanova S.R.
Relevance: In the prenatal period, developmental abnormalities may occur under the influence of various exogenous and endogenous factors. Patients with a bicornuate uterus account for 0.4% of the total number of women, 1.1% of women with infertility and 2.1% of women who had a miscarriage. It is difficult to calculate the real prevalence of this abnormality of uterine development; however, the management of pregnancy and childbirth with a bicornuate uterus remains a relevant issue and challenge for doctors.
Case report: A 34-year-old patient, who had a previous history of childbirth by cesarean section due to a bicornuate uterus, was admitted to the obstetric department of the hospital. Due to the patient’s strong desire, doctors chose the tactics of vaginal delivery. The first stage of labor was uneventful, and a single dose of epidural analgesia was given. The second stage of labor was complicated by fetal distress, which led to the use of vacuum extraction of the fetus. A live full-term boy was delivered weighing 3030 g, 50 cm tall, with a score of 8 and 9 on the 1- and 5-minute by Apgar, respectively. During the entire period of labor, there were regular contractions of the uterus, lasting from 30 seconds in the first stage of labor to 1.5 minute in the active pushing phase of the second stage of labor.
Conclusion: It is possible for women with uterine malformations to give birth vaginally. It is necessary to study this abnormality, generalize and systematize the data in order to develop diagnostic algorithms and therapeutic approaches for the clinicians and their routine practice.
Authors’ contributions: Babich T.Yu. – developing the concept of the study, patient management, data analysis, review of publications, writing the text; Sulima A.N. – data analysis, review of publications, writing the text; Baskakov N.P. – data analysis, review of publications; Suleymanova S.R. – patient management, data analysis, writing the text.
Conflicts of interest: The authors declare no possible conflicts of interest.
Funding: The study was conducted without sponsorship.
Ethical Approval: The study was approved by the Ethical Review Board of the Perinatal Centre, N.A. Semashko Republican Clinical Hospital.
Patient Consent for Publication: The patient provided an informed consent for the publication of her data and associated images.
For citation: Babich T.Yu., Sulima A.N., Baskakov P.N., Suleymanova S.R. Delivery in a pregnant woman with a bicornuate uterus and a scar after cesarean section.
Akusherstvo i Ginekologiya/Obstetrics and Gynecology. 2024; (4): 168-172 (in Russian)
https://dx.doi.org/10.18565/aig.2023.223
Keywords
clinical case
bicornuate uterus
developmental abnormality
uterine scar
cesarean section
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Received 20.12.2023
Accepted 02.04.2024
About the Authors
Tatyana Yu. Babich, Dr. Med. Sci., Associate Professor, Professor of the Department of Obstetrics, Gynecology and Perinatology No. 1, Order of the Red Banner of Labor Medical Institute named after S.I. Georgievsky, V.I. Vernadsky Crimean Federal University, 295051, Russia, Simferopol, bul. Lenina, 5/7; Perinatal Center, N.A. Semashko Republican Clinical Hospital, 295017, Russia, Simferopol, Semashko str., 8, 7047715@mail.ru, https://orcid.org/0000-0003-3274-0698Anna N. Sulima, Dr. Med. Sci., Professor, Professor of the Department of Obstetrics, Gynecology and Perinatology No. 1, Order of the Red Banner of Labor Medical Institute named after S.I. Georgievsky, V.I. Vernadsky Crimean Federal University, 295051, Russia, Simferopol, bul. Lenina, 5/7; Simferopol Clinical Maternity Hospital No. 1,
295017, Russia, Simferopol, Vorovskogo str., 8, gsulima@yandex.ru, https://orcid.org/0000-0002-2671-6985
Petr N. Baskakov, Dr. Med. Sci., Professor, Professor of the Department of Obstetrics, Gynecology and Perinatology No. 1, Order of the Red Banner of Labor Medical Institute named after S.I. Georgievsky, V.I. Vernadsky Crimean Federal University, 295051, Russia, Simferopol, bul. Lenina, 5/7, petr.baskakov@gmail.com,
https://orcid.org/0000-0002-7382-7434
Sabrie R. Suleymanova, Obsteterician-Gynecologist, City Hospital No. 9, 299018, Russia, Sevastopol, Mira str., 5., sabrie97@mail.ru, https://orcid.org/0000-0002-9902-7726
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