title: Uterine didelphys and vaginal birth after cesarean delivery.
abstract: BACKGROUND
  Müllerian anomalies are associated with adverse pregnancy outcomes. We discuss pregnancy in anomalous uteri, with a focus on uterine didelphys, in the setting of a prior cesarean delivery.
  
  
  METHODS
  A 30-year-old woman, gravida 2 para 1001, presented in latent labor at 40 1/7 weeks of gestation. Her first pregnancy was in the right horn of a didelphic uterus and resulted in a cesarean delivery in the setting of chorioamnionitis remote from delivery. The current pregnancy was in the left horn and resulted in a vacuum-assisted vaginal delivery after spontaneous labor.
  
  
  CONCLUSIONS
  There is sparse literature on a trial of labor after cesarean delivery in a uterine didelphys.
authors.affiliation: Department of Obstetrics and Gynecology and Section of Maternal-Fetal Medicine, Department of Obstetrics and Gynecology, Yale University School of Medicine, New Haven, Connecticut.
authors.forename: Gary
authors.initials: G
authors.lastname: Altwerger
authors.forename: Ashley M
authors.initials: AM
authors.lastname: Pritchard
authors.forename: Jonathan D
authors.initials: JD
authors.lastname: Black
authors.forename: Anna K
authors.initials: AK
authors.lastname: Sfakianaki
mesh_terms: D000328:Adult; D005260:Female; D006801:Humans; D011247:Pregnancy; D014219:Trial of Labor; D014599:Uterus / Q000002:abnormalities*; D014620:Vacuum Extraction, Obstetrical; D016064:Vaginal Birth after Cesarean