Obstetric Characteristics in Women with Congenital Uterine Anomalies who Gave a Live Birth

OBJECTIVE: We retrospectively analyzed previous maternal obstetric characteristics as well as obstetric characteristics regarding the current pregnancy in thirty three consecutive pregnant patients with congenital uterine anomalies (CUA) who gave birth to a live baby at Hacettepe University Faculty...

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Main Authors: Duygu Altın Başkak, Mert Turğal, Sinan Beksaç
Format: Article
Language:English
Published: Medical Network 2014-08-01
Series:Gynecology Obstetrics & Reproductive Medicine
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Online Access:https://gorm.com.tr/index.php/GORM/article/view/139
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author Duygu Altın Başkak
Mert Turğal
Sinan Beksaç
author_facet Duygu Altın Başkak
Mert Turğal
Sinan Beksaç
author_sort Duygu Altın Başkak
collection DOAJ
description OBJECTIVE: We retrospectively analyzed previous maternal obstetric characteristics as well as obstetric characteristics regarding the current pregnancy in thirty three consecutive pregnant patients with congenital uterine anomalies (CUA) who gave birth to a live baby at Hacettepe University Faculty of Medicine, Department of Obstetrics and Gynecology between 2005 and 2013. STUDY DESIGN: Descriptive statistics were used to describe previous maternal obstetric characteristics as well as the outcome of the successful pregnancy among different types of CUA. According to the severity of the CUA, we additionally grouped the sample into two; as minor and major mullerian fusion defect groups (mFD and MFD). We compared obstetric characteristics between these groups. RESULTS: We identified 33 patients with CUA. Among these; 14 (42,4%) were identified as septate; 6 (%18,2) as bicornuate, 7 (%21,2) as arcuate, 4 (%12,1) as didelphic, and 2 (%6,1) as unicornuate uterus. In 32 subjects the delivery procedure was caesarean section. The mFD and MFD groups were not statistically different in terms of maternal gravida, parity, dilatation and curettage (D&C) and abortion history. Besides, the two groups were similar in terms of gestational week of birth, birth weight and type of fetal presentation. CONCLUSION: Previous studies emphasize that the type of mullerian anomaly is one of the determinants of pregnancy outcome in women with CUA. However, we show that, this is not the case in women with CUA who gave birth to a live baby. Our results suggest that, type of the mullerian anomaly - if the anomaly allows a live birth - may lose its' predictive value on negative obstetric consequences.
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series Gynecology Obstetrics & Reproductive Medicine
spelling doaj-art-9e19bd1d74564ac8889deced7a9907662025-02-11T21:23:50ZengMedical NetworkGynecology Obstetrics & Reproductive Medicine1300-47512602-49182014-08-0120281Obstetric Characteristics in Women with Congenital Uterine Anomalies who Gave a Live BirthDuygu Altın Başkak0Mert Turğal1Sinan Beksaç2Hacettepe University Faculty of Medicine Department of Obstetrics and Gynecology, AnkaraHacettepe University Faculty of Medicine Department of Obstetrics and Gynecology, AnkaraHacettepe University Faculty of Medicine Department of Obstetrics and Gynecology, Ankara OBJECTIVE: We retrospectively analyzed previous maternal obstetric characteristics as well as obstetric characteristics regarding the current pregnancy in thirty three consecutive pregnant patients with congenital uterine anomalies (CUA) who gave birth to a live baby at Hacettepe University Faculty of Medicine, Department of Obstetrics and Gynecology between 2005 and 2013. STUDY DESIGN: Descriptive statistics were used to describe previous maternal obstetric characteristics as well as the outcome of the successful pregnancy among different types of CUA. According to the severity of the CUA, we additionally grouped the sample into two; as minor and major mullerian fusion defect groups (mFD and MFD). We compared obstetric characteristics between these groups. RESULTS: We identified 33 patients with CUA. Among these; 14 (42,4%) were identified as septate; 6 (%18,2) as bicornuate, 7 (%21,2) as arcuate, 4 (%12,1) as didelphic, and 2 (%6,1) as unicornuate uterus. In 32 subjects the delivery procedure was caesarean section. The mFD and MFD groups were not statistically different in terms of maternal gravida, parity, dilatation and curettage (D&C) and abortion history. Besides, the two groups were similar in terms of gestational week of birth, birth weight and type of fetal presentation. CONCLUSION: Previous studies emphasize that the type of mullerian anomaly is one of the determinants of pregnancy outcome in women with CUA. However, we show that, this is not the case in women with CUA who gave birth to a live baby. Our results suggest that, type of the mullerian anomaly - if the anomaly allows a live birth - may lose its' predictive value on negative obstetric consequences. https://gorm.com.tr/index.php/GORM/article/view/139Congenital uterine anomaliesPregnancyDelivery
spellingShingle Duygu Altın Başkak
Mert Turğal
Sinan Beksaç
Obstetric Characteristics in Women with Congenital Uterine Anomalies who Gave a Live Birth
Gynecology Obstetrics & Reproductive Medicine
Congenital uterine anomalies
Pregnancy
Delivery
title Obstetric Characteristics in Women with Congenital Uterine Anomalies who Gave a Live Birth
title_full Obstetric Characteristics in Women with Congenital Uterine Anomalies who Gave a Live Birth
title_fullStr Obstetric Characteristics in Women with Congenital Uterine Anomalies who Gave a Live Birth
title_full_unstemmed Obstetric Characteristics in Women with Congenital Uterine Anomalies who Gave a Live Birth
title_short Obstetric Characteristics in Women with Congenital Uterine Anomalies who Gave a Live Birth
title_sort obstetric characteristics in women with congenital uterine anomalies who gave a live birth
topic Congenital uterine anomalies
Pregnancy
Delivery
url https://gorm.com.tr/index.php/GORM/article/view/139
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AT mertturgal obstetriccharacteristicsinwomenwithcongenitaluterineanomalieswhogavealivebirth
AT sinanbeksac obstetriccharacteristicsinwomenwithcongenitaluterineanomalieswhogavealivebirth