September 2020 · Volume 9 · Issue 9 Page 3862 International Journal of Reproduction, Contraception, Obstetrics and Gynecology Solanki K et al. Int J Reprod Contracept Obstet Gynecol. 2020 Sep;9(9):3862-3865 www.ijrcog.org pISSN 2320-1770 | eISSN 2320-1789 Case Series Case series on obstetrical outcomes in patient with uterine malformations Kirti Solanki*, Swati Kochar, Laxmi Poonia INTRODUCTION Congenital uterine malformations are uterine abnormalities caused by abnormal embryologic formation, fusion or resorption of mullerian ducts which are primordial analogue of female reproductive tract. 1 Its prevalence is 2-4% in reproductive age group and 5-25% in women with adverse reproductive outcomes. 2-4 Mullerian duct anomaly are classified according to 1988 American fertility society classification (Figure 1). 5 Uterine malformations in order of their occurrence are- arcuate uterus followed by septate uterus, bicornuate uterus, didelphic uterus and unicornuate uterus. These malformations are associated with various obstetrical outcomes like first and second trimester abortions, malpresentations, fetal growth restriction, fetal demise, premature rupture of membranes, preterm delivery, increased risk of ectopic pregnancy. 6-11 These outcomes are principally due to abnormal uterine blood flow, cervical incompetency, diminished cavity size or muscle mass of uterus. The objective of this study is to look for the various pregnancy outcomes in patients with uterine anomalies. Figure 1: American fertility society classification of uterine anomlies. This study was conducted in obstetrics and gynaecology department of Sardar Patel medical college and associated group of hospitals between time period of Department of Obstetrics and Gynaecology, Sardar Patel Medical College, Bikaner, Rajasthan, India Received: 14 July 2020 Revised: 07 August 2020 Accepted: 14 August 2020 *Correspondence: Dr. Kirti Solanki, E-mail: solanki.kirti100@gmail.com Copyright: © the author(s), publisher and licensee Medip Academy. This is an open-access article distributed under the terms of the Creative Commons Attribution Non-Commercial License, which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited. ABSTRACT Congenital uterine anomalies occur due to abnormal fusion of mullerian duct during embryonic life. It is associated with high incidences of reproductive failures and adverse obstetrical outcomes. It may be associated with malpresentation, preterm labour, or recurrent pregnancy losses. Authors report a case series of 7 patients which were admitted in obstetrics and gynaecology department of SP medical college and associated group of hospitals between time period of March 2019 to July 2019. Among 7 cases 6 cases were associated with malpresentation, 1 with abortion, and 1 with preterm labour. This series shows that uterine anomalies are associated with different obstetrical outcomes varying from totally uneventful antenatal and postnatal period to abortion or preterm labour. Prenatal diagnosis of uterine anomaly may help in improving the obstetrical outcome in these patients. Keywords: Congenital uterine anomaly, Malpresentation, Preterm labour, Recurrent pregnancy loss DOI: http://dx.doi.org/10.18203/2320-1770.ijrcog20203869