Successful early term pregnancy in a patient with an unresected partial septate uterus: A case report

A septate uterus is a congenital uterine anomaly associated with adverse reproductive outcomes, including miscarriage, preterm birth, and fetal malpresentation. This report presents the case of a successful early-term pregnancy in a 23-year-old woman (gravida 2, para 0) with a previously diagnosed partial uterine septum. Diagnosis was established using three-dimensional transvaginal ultrasound and confirmed by magnetic resonance imaging. The patient elected to have expectant management and underwent routine prenatal care with maternal-fetal medicine surveillance. Pregnancy progressed without major complications. The fetus remained confined to the right uterine horn and in persistent frank breech presentation. At 37 weeks and 2 days of gestation, cesarean delivery was performed following premature rupture of membranes. A live female neonate weighing 2.64 kg was delivered without immediate complications. This case demonstrates that successful pregnancy and live birth are possible in the setting of an unresected partial uterine septum and highlights the importance of individualized counseling, prenatal surveillance, and delivery planning in patients with congenital uterine anomalies.