Obstetrical outcome in pregnant women presenting with congenital uterine anomalies.

OBJECTIVE

To analyze the obstetrical outcome in pregnant women who presented with congenital uterine anomalies.

METHODS

Sixty patients participated in this descriptive study conducted at department of obstetrics and gynecology, Lady Reading Hospital, Peshawar from February 2023 to April 2024. Pregnant patients with CUA aged 20 to 35 years and gestational age 30 to 42 with singleton pregnancy were included. Classification of CUA was assessed along with negative obstetric outcomes. Data analysis was done using SPSS 20.

RESULTS

Septate uterus was detected in 13 (21.7%), unicornuate 5 (8.3%), bicornuate 32 (53.3%), and didelphys 10 (16.7%). Cesarean section 40 (66.7%), preterm delivery 21 (35%), malpresentation 33 (55%), SGA 36 (43.3%), and low birth weight 18 (30%) were negative obstetric outcomes. Unicornuate uterus and bicornuate uterus had greater caesarean section rates. Patients with unicornuate uterus, didelphys and septate had more preterm deliveries. Fetus malpresentation was higher in bicornuate uterus than other CUAs. Septate uterine patients had higher SGA and low birth weight rates.

CONCLUSION

Our investigation confirms unfavorable obstetric outcomes are commonly linked to congenital uterine abnormalities.