An observational study of effect of Mullerian anomalies on pregnancy

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dc.contributor.authorRaj, Nehaen_US
dc.contributor.authorChavan, Niranjan N.en_US
dc.date.accessioned2020-10-16T07:54:28Z
dc.date.available2020-10-16T07:54:28Z
dc.date.issued2019-03
dc.description.abstractBackground: Mullerian anomalies occur in approximately 3-4% of fertile and infertile women, 5–10% of women with recurrent early pregnancy loss, and up to 25% of women with late first or second-trimester pregnancy loss or preterm delivery. However, due to low prevalence rate and asymptomatic course of the anomalies, Mullerian anomalies remain underdiagnosed and often overlooked as a possible cause of recurrent pregnancy failures, preterm deliveries, IUGR and low birth weight.Methods: Total of 30 cases of Mullerian anomalies with pregnancy, prior diagnosed or incidental during LSCS, were studied for complications during pregnancy, history of gynecological complaints and rate of diagnosis with routine imaging technique.Results: Septate uterus was the most common anomaly seen in this study (36.6%).56.6% were diagnosed incidentally during LSCS despite the fact 26.6% of cases had history of 2 or more abortions and 30% had some or other gynecological complaints previously. 10% of pregnancies ended in abortions, 20% had preterm delivery, 36.6% had malpresentations and there was case of rupture uterus (03.3%).Conclusions: Mullerian anomalies are often asymptomatic or have subtle gynecological symptoms which are often missed by both patient and gynecologists. It is observed that due to the asymptomatic course of Mullerian anomalies, invasive nature of HSG and lack of 1.5 Tesla MRI at many institutes leads to low rate of diagnosis of Mullerian anomalies. Pregnancy with Mullerian anomalies often have preterm delivery, IUGR and malpresentation, so, require proper counselling and close monitoring during antenatal period.en_US
dc.identifier.affiliationsDepartment of Obstetrics and Gynecology, Lokmanya Tilak Municipal Medical College and General Hospital, Mumbai, Maharashtra, Indiaen_US
dc.identifier.citationRaj Neha, Chavan Niranjan N.. An observational study of effect of Mullerian anomalies on pregnancy. International Journal of Reproduction, Contraception, Obstetrics and Gynecology. 2019 Mar; 8(3): 1155-1161en_US
dc.identifier.issn2320-1770
dc.identifier.issn2320-1789
dc.identifier.placeIndiaen_US
dc.identifier.urihttps://imsear.searo.who.int/handle/123456789/206557
dc.languageenen_US
dc.publisherMedip Academyen_US
dc.relation.issuenumber3en_US
dc.relation.volume8en_US
dc.source.urihttps://dx.doi.org/10.18203/2320-1770.ijrcog20190897en_US
dc.subjectMalpresentationen_US
dc.subjectMullerian anomaliesen_US
dc.subjectObstetrics complicationsen_US
dc.subjectPreterm labouren_US
dc.subjectRupture uterusen_US
dc.titleAn observational study of effect of Mullerian anomalies on pregnancyen_US
dc.typeJournal Articleen_US
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