Abstract
The reproductive history was analyzed of 13 women with a laparoscopic or laparotomy diagnosis of uterus didelphys and followed for two to six years. Two patients (15.4%) presented with primary infertility; the other 11 had a total of 27 pregnancies, the outcome of which was spontaneous abortion in 20 cases (74%), premature labor in 6 (22.2%) and term birth in 1 (3.7%), with a live birth rate of 18.5%. Metroplasty was performed in five cases, with live birth in three, spontaneous abortion in 1 and no postoperative conceptions in one. The live birth rate, considering all pregnancies before and after treatment, was 35%. The compromised fertility of the uterus didelphys is probably attributable to congenital alterations in vascularization that may have a negative influence on developmental phases following implantation, particularly the structuralization of the fetomaternal relations that precede placentation.
| Original language | English |
|---|---|
| Pages (from-to) | 353-355 |
| Number of pages | 3 |
| Journal | Journal of Reproductive Medicine for the Obstetrician and Gynecologist |
| Volume | 33 |
| Issue number | 4 |
| Publication status | Published - 1988 |
ASJC Scopus subject areas
- Obstetrics and Gynaecology
- Reproductive Medicine