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[Pregnancy and its outcome in women with malformed uterus]
1Peking Union Medical College Hospital, Chinese Academy of Medical Sciences, Beijing 100730, China.
Objective:
To analyze the clinical characteristics of fertility and pregnancy in women with congenital uterine malformations and explore optimal treatments to improve the prognosis.
Methods:
A retrospective study was conducted on the fertility and obstetric outcome in 153 in patients with uterine malformations treated in our hospital from January 1984 to December 1998. Twenty-seven cases with other kinds of genital and/or urinary anomalies but with normal uterus was used as the control group.
Results:
The infertility rate was 22.2% (34/153). The miscarriage rate was 44.3% (86/194), preterm labor rate was 9.3% (18/194). Abnormal fetal presentation rate was as high as 28.4% (29/102), the cesarean section rate was 61.8% (63/102), perinatal mortality rate was 11.8% (12/102).
Conclusion:
Women with congenital uterine malformation usually have higher incidence of infertility and complications during pregnancy and delivery. Bicornuate and septate uterus could be associated with poorer obstetric outcome.