CONGENITAL UTERINE ANOMALIES DETECTED DURING CAESAREAN SECTION: PREVALENCE AND IMPACT ON PREGNANCY OUTCOMES

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SanjayKumar Patil, Yamini Patil, Vaishali Vhawal

Abstract

A prospective cohort study conducted at the Krishna Institute of Medical Sciences, KVV, karad India, from August 2021 to July 2022, involved 2932 women undergoing caesarean sections. Uterine examinations were meticulously performed during these procedures, with anomalies carefully documented. Among the cohort, 22 cases of congenital uterine anomalies (CUAs) were detected during caesarean sections, indicating a prevalence rate of 0.6%. Women with these anomalies experienced heightened rates of adverse pregnancy outcomes, including miscarriage (32.4%), pre-eclampsia (38.2%), fetal malpresentation (38.2%), fetal growth restriction (10.8%), and preterm caesarean delivery (49.1%). Notably, the most prevalent types of CUA observed were unicornuate uterus (38.2%), septate uterus (32.8%), arcuate uterus (25.2%), and bicornuate uterus (14.5%). Septate and unicornuate uteri were particularly associated with the most severe outcomes. Caesarean sections offer a critical opportunity to identify congenital uterine anomalies, shedding light on their prevalence and implications for pregnancy outcomes. Routine exploration of the uterus for anomalies during post-delivery procedures is essential and should be documented to guide future reproductive decisions and optimize patient care.

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How to Cite
Vaishali Vhawal, S. P. Y. P. (2024). CONGENITAL UTERINE ANOMALIES DETECTED DURING CAESAREAN SECTION: PREVALENCE AND IMPACT ON PREGNANCY OUTCOMES. Obstetrics and Gynaecology Forum, 34(3s), 167–171. Retrieved from http://obstetricsandgynaecologyforum.com/index.php/ogf/article/view/263
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