Outcome of pregnancy in women with uterine malformation: evaluation of 62 cases.
A retrospective analysis of the outcome of pregnancy in 62 women seen between 1971 and 1988, with a uterine malformation was carried out. Fifty-seven out of 62 cases with a uterine malformation conceived and there was a total of 127 pregnancies. On the other hand five women have an unexplained infertility of more than 2 years duration. The abortion rate among these 127 pregnancies was 36% premature delivery rate 22% and term delivery rate 42%. Cases with a complete septate uterus had the higher abortion rate. Metroplasty was done in three patients with a uterus bicornis and in six cases with a septate uterus. Cervical cerclage was done in 23 cases. Breech presentation was very frequent (46%). The cesarean section rate in the 81 cases whose pregnancy continued beyond the 28th week of pregnancy was 63%. Perinatal mortality rate was 37% and fetal survival rate 61%.
First Department of Obstetrics and Gynecology, University of Athens, Greece.
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Michalas
D000022:Abortion, Spontaneous / Q000453:epidemiology / Q000209:etiology; D000293:Adolescent; D000328:Adult; D001946:Breech Presentation; D002585:Cesarean Section / Q000706:statistics & numerical data; D002965:Classification; D005260:Female; D005322:Premature Rupture of Fetal Membranes / Q000453:epidemiology / Q000209:etiology; D006801:Humans; D007226:Infant Mortality; D007231:Infant, Newborn; D007247:Infertility, Female / Q000453:epidemiology* / Q000209:etiology; D011247:Pregnancy; D011248:Pregnancy Complications; D012189:Retrospective Studies; D015996:Survival Rate; D014599:Uterus / Q000002:abnormalities* / Q000601:surgery