Breech Presentations in a Bicornuate Uterus

Dr. Aravinda Hariram, Dr. K Saraswati SBMCH

Abstract: Bicornuate uterus is a lateral fusion disorder of the mullerian ducts. While studies have reported successful deliveries in a bicornuate uterus, it might be accompanied by various complications ranging from preterm labour to uterine rupture. One such impediment to a good perinatal outcome in a patient with Bicornuate uterus is Breech presentation. In pregnancies with bicornuate uterus, malpresentations and malpositions occur in about 40-50 % of them, with breech presentation being the commonest of them all. This is case of a 35yr old, multiparous woman (G5P2L1A2D1) with a bicornuate uterus and a past history of Breech presentation in her first pregnancy for which an elective caesarean section was performed. The patient was booked and immunised at Sree Balaji Medical College and attended all her antenatal visits regularly from 9 weeks. A detailed anomaly scan was done at 20 weeks and all gross anomalies were ruled out. From 28 weeks, the foetus presented in breech and continued to remain in breech till delivery. At 35 weeks, patient came in with signs of early labour. An emergency caesarean section was performed in view of Previous LSCS in labour with Breech presentation and an alive preterm male baby was delivered. According to results a successful delivery could be achieved in patients with bicornuate uterus with careful monitoring, anticipation and early identification of complications and timely management.

Keywords: Breech, Bicornuate uterus, uterus