WORLD JOURNAL OF ADVANCE
HEALTHCARE RESEARCH

Dr. Rita D. and *Dr. Bhawna Bajar

ABSTRACT

Introduction: Normal development of the female reproductive tract involves a series of complex processes characterized by the differentiation, migration, fusion, and subsequent canalization of the Müllerian system. Bicornuate uterus is a uterine anomaly resulting from incomplete fusion of the mullerian ducts during. It is characterised by two separate but communicating endometrial cavity and a single uterine cervix. Failed fusion may extend to cervix, resulting in a complete bicornuate uterus. It may be partial causing milder abnormality. A 27 years old patient, booked case, G2P1L1 with history of 9 months of amenorrhea came for safe confinement of pregnancy. Patient gives history of previous 1 cesarean section done 2 years ago. Indication for cesarean section was transverse lie. General physical examination was uneventful. On Per abdomen examination – correspond to term size, relaxed abdomen, cephalic presentation and FHS heard in left spinoumblical region. USG shows a single live intrauterine fetus of 36 weeks 5 days of gestational age with moderate oligohydramnios of AFI 7cms with Cephalic presentation with approximate fetal weight – 2887gms and posteriorly located placenta with grade II maturity done. Elective caesarean section was done. Conclusion: Patients with uterine anomalies are at increased risk of adverse pregnancy outcome such as malpresentations, preterm premature rupture of membranes, preterm birth, abruptio placenta , pre eclampsia, IUGR. Early diagnosis and proper antenatal care is required to successfully manage a pregnancy with uterine anomaly.