Published: 2021-12-28

Case series on mullerian anomalies incidence during caesarean section over one year period

Mukta Jain, Komal Vijaywargiya, Aayushi Ruia


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. The association of congenital anomalies and early pregnancy loss has been well established but its adverse effect on late pregnancy in form of malpresentation, preterm deliveries has not yet been elaborated. Hence, this case series aimed to summarize the incidence and perinatal outcome of pregnancy in women with congenital uterine anomalies undergoing cesarean section. This was a case series which was conducted on women who underwent cesarean section at P. C. Sethi hospital, Indore between time period of October 2020 to September 2021. Out of total 1835 cesarean undergoing patients, 12 patients were found to have uterine anomalies. Out of 12 patients, 9 (75%) patients were associated with malpresentation, 4 (33.3%) patients had preterm delivery and 6 (50%) patients had low birth weight babies. Hence it can be said that women with congenital uterine anomalies were at higher incidence of malpresentation and preterm deliveries. Presence of congenital uterine anomalies were associated with adverse obstetrical outcome. This knowledge warrants the need for a larger case control study to extrapolate these findings to the general population and also to recommend the need for universal prenatal screening for uterine anomalies to improve the obstetrical and perinatal outcome in patients with uterine anomalies.


Mullerian anomaly, Malpresentation, Preterm labour, Low birth weight babies

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Rao SS, Anitha GS, Chandralekha P. Pregnancy in uterus didelphys delivered by caesarean delivery: case report. Int J Reprod Contracept Obstetr Gynaecol. 2016;5(7).

A Retrospective Study To Find The Incidence Of Uterine Anomalies In Patient Undergoing Cesarean Section, And Their Obstetrical Outcome. Dr Kirti Solanki , Dr Swati Kochar, Dr Priyanka Gaur, Dr Laxmi Poonia, Dr Krishna.

Ribeiro SC, Tormena RA, Peterson TV, Gonzáles MDO, Serrano PG, Almeida JAMD, et al. Müllerian duct anomalies: review of current management. Sao Paulo Med J Rev Paul Med. 2009;127(2):92-6.

Grimbizis GF, Camus M, Tarlatzis BC, Bontis JN, Devroey P. Clinical implications of uterine malformations and hysteroscopic treatment results. Hum Reprod Update. 2001;7(2):161-74.

Chan YY, Jayaprakasan K, Zamora J, Thornton JG, Raine-Fenning N, Coomarasamy A. The prevalence of congenital uterine anomalies in unselected and high-risk populations: a systematic review. Hum Reprod Update. 2011;17(6):761-71.

Acien P. Incidence of mullerian defects in fertile and infertile women. Hum Reprod. 1997;12(7):1372-6.

Buttram VC, Gibbons WE. Müllerian anomalies: a proposed classification (an analysis of 144 cases). Fertil Steril. 1979;32(1):40-6.

The American Fertility Society classifications of adnexal adhesions, distal tubal occlusion, tubal occlusion secondary to tubal ligation, tubal pregnancies, mullerian anomalies and intrauterine adhesions. Fertil Steril. 1988;49(6):944-55.