Concluded Case

septate uterus in early pregnancy

29yr/f with early pregnancy of 5 week 0 day. recently detected with septate uterus . but earlier 2 month back usg pelvis was normal. now she wants to know what is to be done is it safe to continue with the pregnancy. and how it is possible to develop septate uterus in early pregnancy if Initially it was not present...or report may be wrong? no any past medical or surgical history. no major family history. please doctor suggest your valuable option.

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Concluded answer

Separate uterus is one form congenital malformation of uterus due to certain developmental defect. However this may not cause much problem to continue with pregnancy which is well supervised. Further one advanced pregnancy may get easier for subsequent pregnancy. I do not recommend any surgical intervention to begin with for removing the septum. Further pregnancy does not create septum. It was already existing but usg could not elicit.

All Answers

There is possibility of missing septate uterus as fundal uterine shape is normal and thin septa do not reach to cervix. This requires 3D ultrasound to determine and HSG or MRI to confirm .

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Agree with Dr Manindra Pal. She should continue her pregnancy under supervision of a gynaec. High risks are malpresentation like tranverse lie,iugr risk of preterm labor

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Yes,that's true.

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Separate uterus is one form congenital malformation of uterus due to certain developmental defect. However this may not cause much problem to continue with pregnancy which is well supervised. Further one advanced pregnancy may get easier for subsequent pregnancy. I do not recommend any surgical intervention to begin with for removing the septum. Further pregnancy does not create septum. It was already existing but usg could not elicit.

Thank you doctor
0