Pregnancy in uterus didelphys delivered by CS: a case report
Published in the International Journal of Reproduction, Contraception, Obstetrics and Gynecology, the authors describe a case of left-sided body of a didelphys uterus delivered by caesarean section.

A 21 Years primigravida married for one year presented at 39 weeks of gestation with breech presentation to our labour room with complaint of labour pains. She had regular antenatal check-up’s in a private clinic and was diagnosed to be having persistent breech presentation and was advised to undergo caesarean section in view of primigravida with persistent breech in labour.

Longitudinal vaginal septum present, two cervices felt. Left side cervix 80% effaced, 1.0 cm dilated. Right side cervix is unaffected, os closed. The fetal heart tracing was category one, showing a fetal heart rate of 150 at baseline, moderate variability, with accelerations and no decelerations.

She had an ultrasound scan report done on the same day showing term breech presentation. Scan had not mentioned uterus didelphys. Case was posted for caesarean section in view of breech presentation with vaginal septum. Under spinal anaesthesia, abdomen opened by pfannensteil incision.

Lower segment caesarean section was done. Baby presented as flexed breech and was delivered by breech extraction. An alive male baby of weight 2.5 kg with APGAR 8-10 was delivered. After delivery of the placenta, when uterus was exteriorized, another nongravid uterus was found on right side. It was diagnosed to be a case of uterus didelphys.

Fetus was delivered from the left uterus. Each uterus had one fallopian tube and ovary. Both ovaries and tubes appeared to be healthy. Both uteri had separate cervices opening into separate vaginas. Bilateral kidneys were palpated and were normal. Her postoperative recovery was uneventful.

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