title: The pregnancy outcome in women with incidental diagnosis of septate uterus at first trimester scan.
abstract: BACKGROUND
  Septate uterus seems to be strongly associated with an adverse pregnancy outcome. However, the possible relationship between septate uterus and miscarriage has only been retrospectively ascertained. The aim of our study was to describe the reproductive outcome in women with incidental diagnosis of malformed uterus at first trimester scan.
  
  
  METHODS
  Women at their first pregnancy attending our centre for a routine viability scan with an incidental suspicion of uterine anomaly at standard sonography were submitted to transvaginal volume ultrasound. All the cases with a 3D diagnosis of septate uterus were prospectively recruited and followed up.
  
  
  RESULTS
  Overall 24 patients with a single intrauterine pregnancy were included at a median gestational age of 8.2 weeks. The cumulative pregnancy progression rate, as quoted by Kaplan-Meier algorithm, was 33.3% due to the occurrence of early (≤ 13 weeks) or late miscarriages (14-22 weeks) in 13 and 3 cases, respectively.
  
  
  CONCLUSIONS
  The pregnancy outcome is poor if a septate uterus is incidentally diagnosed in the early stage of a viable intrauterine pregnancy.
authors: Department of Obstetrics and Gynaecology, St. Orsola Malpighi Hospital, University of Bologna, Bologna, Italy. tullioghi@yahoo.com
authors: Tullio
authors: T
authors: Ghi
authors: Francesca
authors: F
authors: De Musso
authors: Elisa
authors: E
authors: Maroni
authors: Aly
authors: A
authors: Youssef
authors: Luca
authors: L
authors: Savelli
authors: Antonio
authors: A
authors: Farina
authors: Paolo
authors: P
authors: Casadio
authors: Marco
authors: M
authors: Filicori
authors: Gianluigi
authors: G
authors: Pilu
authors: Nicola
authors: N
authors: Rizzo
mesh_terms: D000022:Abortion, Spontaneous; D000328:Adult; D000465:Algorithms; D005260:Female; D005865:Gestational Age; D006801:Humans; D011247:Pregnancy; D011248:Pregnancy Complications / Q000000981:diagnostic imaging; D011256:Pregnancy Outcome; D011261:Pregnancy Trimester, First; D013997:Time Factors; D016216:Ultrasonography, Prenatal / Q000379:methods*; D014591:Uterine Diseases / Q000175:diagnosis* / Q000000981:diagnostic imaging*; D014599:Uterus / Q000002:abnormalities* / Q000000981:diagnostic imaging