Successful delivery of a twin pregnancy in a patient with a rare genital malformation
- Authors: Sukhanov A.A.1,2, Obryadov M.A.2, Dikke G.B.3, Kukarskaya I.I.1,2
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Affiliations:
- Perinatal Medical Center
- Tyumen State Medical University, Ministry of Health of Russia
- F.I. Inozemtsev Academy of Medical Education
- Issue: No 11 (2023)
- Pages: 205-210
- Section: Clinical Notes
- URL: https://journals.eco-vector.com/0300-9092/article/view/626148
- DOI: https://doi.org/10.18565/aig.2023.246
- ID: 626148
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Abstract
Background: Pregnancy in patients with uterine malformations such as complete intrauterine septum with duplicated cervix is rare and it is associated with the risk of complications. There is no unified guidance on the management and delivery.
Case report: A 35-year-old female patient with a complete intrauterine septum and duplicated cervix had her third twin pregnancy (in each uterus) with the help of assisted reproductive technologies (ART). The woman had a previous history of two miscarriages and secondary infertility. There was a threat of miscarriage at 14–15 weeks gestation, the pregnancy was prolonged to 34 weeks 4 days. A cesarean section was performed after premature rupture of the membranes. The woman gave birth to live premature babies: a female with a weight of 2172 g and height of 46 cm long, and a male with a weight of 2416 g and height of 50 cm; they were both in a satisfactory condition.
Conclusion: This is an extremely rare clinical case when a woman with a complete intrauterine septum, duplicated cervix, and a history of habitual miscarriage becomes pregnant with twins after ART. The favorable outcome of this pregnancy is determined by accurate interpretation of the ultrasound image and the correct sequence of actions during pregnancy for prolongation and delivery.
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About the authors
Anton A. Sukhanov
Perinatal Medical Center; Tyumen State Medical University, Ministry of Health of Russia
Author for correspondence.
Email: such-anton@yandex.ru
ORCID iD: 0000-0001-9092-9136
PhD, Head of the Department of Gynecology, Perinatal Center, Associate Professor, Department of Obstetrics and Gynecology
Russian Federation, 1 Daudelnaya str., Tyumen, 625002; 54, Odesskaya str., Tyumen, 625023Mikhail A. Obryadov
Tyumen State Medical University, Ministry of Health of Russia
Email: mikhail-obryadov@mail.ru
ORCID iD: 0009-0009-8518-1800
student of the Pediatric Faculty
Russian Federation, 54, Odesskaya str., Tyumen, 625023Galina B. Dikke
F.I. Inozemtsev Academy of Medical Education
Email: galadikke@yandex.ru
ORCID iD: 0000-0001-9524-8962
Dr. Med. Sci., Professor, Department of Obstetrics and Gynecology with a Course of Reproductive Medicine
Russian Federation, 22 liter M, Moskovsky Prospect, St. Petersburg, 190013Irina I. Kukarskaya
Perinatal Medical Center; Tyumen State Medical University, Ministry of Health of Russia
Email: such-anton@yandex.ru
ORCID iD: 0000-0002-8275-3553
Dr. Med. Sci., Associate Professor, Head of the Department of Obstetrics, Gynecology and Perinatology, Institute of Maternity and Childhood, Chief Specialist in Obstetrics and Gynecology, Department of Health of the Tyumen Region
Russian Federation, 1 Daudelnaya str., Tyumen, 625002; 54, Odesskaya str., Tyumen, 625023References
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