Pregnancy Complications in Uterine Anomalies-A Pilot Study

Area of Science:

• Reproductive Medicine
• Maternal-Fetal Medicine
• Congenital Abnormalities

Background:

• Uterine malformations affect up to 7% of the general population.
• These conditions are associated with increased pregnancy complication rates.
• Limited data exists on psychological interventions and multidisciplinary approaches for parental counseling.

Purpose of the Study:

• To investigate obstetric complications in women with uterine malformations.
• To evaluate the impact of these malformations on pregnancy outcomes, including preterm birth.
• To explore the role of psychological interventions and multidisciplinary counseling.

Main Methods:

• Retrospective pilot study (2010-2017).
• Study group: 26 women with anomalous uterine conditions (AUCs).
• Control group: 25 women with normal uteri.

Main Results:

• Significantly higher rates of preterm birth (p=0.003) in the AUC group.
• Increased failure to deliver a live newborn (p=0.004) in the AUC group.
• Adverse neonatal outcomes including lower birth weight (p=0.0001), Apgar scores (p=0.029), and higher NICU admissions (p=0.0001).

Conclusions:

• A strong correlation exists between congenital uterine malformations and pregnancy complications.
• Premature delivery is the most common adverse outcome.
• Enhanced parental counseling involving obstetricians, neonatologists, and psychologists can improve outcomes.