[Pregnancy and its outcome in women with malformed uterus].
OBJECTIVE
To analyze the clinical characteristics of fertility and pregnancy in women with congenital uterine malformations and explore optimal treatments to improve the prognosis.


METHODS
A retrospective study was conducted on the fertility and obstetric outcome in 153 in patients with uterine malformations treated in our hospital from January 1984 to December 1998. Twenty-seven cases with other kinds of genital and/or urinary anomalies but with normal uterus was used as the control group.


RESULTS
The infertility rate was 22.2% (34/153). The miscarriage rate was 44.3% (86/194), preterm labor rate was 9.3% (18/194). Abnormal fetal presentation rate was as high as 28.4% (29/102), the cesarean section rate was 61.8% (63/102), perinatal mortality rate was 11.8% (12/102).


CONCLUSIONS
Women with congenital uterine malformation usually have higher incidence of infertility and complications during pregnancy and delivery. Bicornuate and septate uterus could be associated with poorer obstetric outcome.
Ma
S
S
Peking Union Medical College Hospital, Chinese Academy of Medical Sciences, Beijing 100730, China.
Bian
X
X
Lang
J
J
D000022:Abortion, Spontaneous / Q000209:etiology; D002585:Cesarean Section; D005260:Female; D005298:Fertility; D006801:Humans; D007226:Infant Mortality; D007231:Infant, Newborn; D007746:Labor Presentation; D007752:Obstetric Labor, Premature / Q000209:etiology; D011247:Pregnancy; D011248:Pregnancy Complications; D012189:Retrospective Studies; D014599:Uterus / Q000002:abnormalities*