Uterine didelphys coexisting with term pregnancy, an incidental finding during an emergency caesarean section in a private health care facility in Lagos, Nigeria.

Abstract

It is very difficult to determine the exact prevalence and reproductive implications of congenital uterine anomalies, because majority of the cases are missed, since they are often asymptomatic and the poor accuracy of the diagnostic tools commonly used. Although, many of these women with congenital uterine anomalies carry their pregnancies to term with live deliveries without any complication, some experience pregnancy losses. A 29 year old, G₃P₀⁺² lady with 2 previous first trimester spontaneous abortions had an emergency  caesarean section for cervical stasis at 38 Weeks gestation. Findings at Surgery were consistent with uterine Didelphys. Her Post-operative period was uneventful. Thus, bad obstetric history such as recurrent spontaneous abortions as seen in this patient should be a pointer for proper evaluation to exclude congenital uterine anomalies.

Keywords: Uterine didelphys, Term pregnancy, Emergency caesarean section, private health care facility in Lagos.