Abstract

A RARE CASE OF BICORNOATE UTERUS WITH TWIN PREGNANCY: ONE PREGNANCY IN EACH HORN!!

Author(s): Beena Guhan1, Anusha H. Gopalan2, Meera Pavithran3, Smitha D Couth4, Sajala Vimalraj5

INTRODUCTION:
??? BICORNUATE UTERUS1,2 is a congenital uterine anomaly caused by incomplete lateral fusion of the mullerian ducts.
??? It is CLASS-IV mullerian anomaly according to the AMERICAN SOCIETY OF REPRODUCTIVE MEDICINE classification.
Incidence of uterine malformations - 4% in fertile women, 3.5-6% in infertile women, 13% in patients with recurrent abortions.3,4,5 Bicornuate uterus – 25% of all uterine malformations.5
??? Bicornuate uterus is associated with adverse pregnancy outcomes6, 7, 8, 9 like
1. Recurrent pregnancy loss
2. Preterm birth
3. Malpresentations.
Live birth rate with a bicornuate uterus is 40-60%.9