Case Report
Volume 10 Issue 4 - 2021
Successful Pregnancy Outcome in Woman with Didelphy Uterus Diagnosed at Emergency Cesarean Section, Ethiopia, 2018
Tefera Marie Bereka1*, Yibelu Bazezew Bitewa2 and Desalegn Getaneh Woldie3
1Msc in Clinical Midwifery, Midwifery department, Kotebe Metropolitan University, Addis Ababa, Ethiopia
2Msc in Clinical Midwifery, Midwifery department, Debremarkos University, Amhara, Ethiopia
3Msc in integrated emergency obstetrics and general surgery, Emergency Obstetrics and General Surgery, Attaye General Hospital, Amhara, Ethiopia
*Corresponding Author: Tefera Marie Bereka, Msc in Clinical Midwifery, Midwifery department, Kotebe Metropolitan University, Addis Ababa, Ethiopia.
Received: January 04, 2021; Published: March 23, 2021




Abstract

Background: Mulerian duct anomalies(MDA) are among a rarely occurring congenital conditions potentially complicates woman’s ability to conceive and result in normal pregnancy, labor and delivery. This case report helps health provider in broadening scope of anticipation of variety of obstetric and gynecologic cases as differential diagnosis when assisting woman during labor and delivery especially in facilities where imaging resource are limited and obstructed or prolonged labor is diagnosed. With this purpose this case shares certain manifestations of didelphy uterus during labor, and discusses feature of MDA, diagnosis, complication and its outcome.

Patients and Method: This case report asses the clinical manifestations of woman with didelphy uterus during labor

Résulta: This case report woman with double uterus who had successful pregnancy and cesarean delivery. The two uteri were laid at right lateral and left lateral side, and fetus was extracted from right one, which was anterior part prior to extraction. The two uteri have separate fundus, and have only one fallopian tube in the left sided uterus. Both uteri have separate internal cervical oss, but share common external oss.  

Conclusion and Recommandation: Though mulerian duct anomalies are rare, health provider dealing with woman with prolonged or obstructed labor is expected to incorporate suspicion of didelphy uterus even in term pregnancies unless exclusion is made by certain protocols.

Keywords: Mulerian Duct Anomally; Double Uterus; Emergency CS; Obstructed Labor

References

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  9. Mendes N., et al. “A Rare Obstetric Outcome in Uterus Didelphys with Obstructed Hemivagina and Ipsilateral Renal Agenesis”. Journal of Gynecologic Surgery5 (2012): 365-368.
  10. , et al. “Pregnancy and Childbirth in Uterus Didelphys: A Report of Three Cases”. Medicina 56.4 (2020): 198.
  11. Heinonen PK. “Clinical implications of the didelphic uterus: long-term follow-up of 49 cases”. European Journal of Obstetrics and Gynecology and Reproductive Biology2 (2000): 183-190.
  12. Heinonen PK. “Uterus didelphys: a report of 26 cases”. European Journal of Obstetrics and Gynecology and Reproductive Biology5 (1984): 345-350.
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Citation: Tefera Marie Bereka., et al. “Successful Pregnancy Outcome in Woman with Didelphy Uterus Diagnosed at Emergency Cesarean Section, Ethiopia, 2018”. EC Gynaecology 10.4 (2021): 35-40.

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