Table 1 Clinical data and management of index cases
Case no. | Age (years) | Clinical presentation | Menstrual history | Obstetric history | Clinical examination findings | Antenatal USG | Indication for LSCS | Status of the baby | Intraoperative diagnosis |
|---|---|---|---|---|---|---|---|---|---|
1. | 22 | G6A5, 34 weeks GA with recurrent pregnancy loss with APE | Regular | Married life 7 years, G6A5, all being spontaneous abortion during first trimester | not contributary | normal findings | APE | No anomalies | Septate uterus |
2. | 20 | G2A1, 39 weeks and 6 days GA with breech presentation not in labor | Regular | G2A1, first pregnancy with spontaneous abortion during first trimester | not contributary | normal findings | Breech presentation | No anomalies | Arcuate uterus |
3. | 19 | Primigravida with 9 weeks GA with inevitable abortion | Regular | primigravida | Per speculum showed septum with two vaginae and two cervices on either side | 9 weeks gestation with uterine didelphys | N/A | N/A | Uterine didelphys diagnosed during ultrasonography |
4. | 20 | G2P1L1, 38 weeks +6 days GA with previous LSCS in latent labor with uterine didelphys | Regular | Married life 3 years, first baby healthy, LSCS done for breech presentation | Per speculum showed septum with two vaginae and two cervices on either side | normal findings | Previous LSCS, with threatened scar rupture | No anomalies | Uterine didelphys with longitudinal septum found during LSCS |
5. | 20 | G3A2, 35 weeks + 4 days GA with severe preeclampsia with ascites with breech presentation | Regular | Married life 5 years, G3A2, previous pregnancies all with first-trimester spontaneous abortion | not contributary | normal findings | Preterm breech with FGR with severe OH with breech | No anomalies | Bicornuate uterus |
6. | 25 | Primigravida, 39 weeks + 5 days GA with severe preeclampsia with high leak > 8 hours not in labor | Regular | Primigravida, married life 1 year | Per vaginal examination in first trimester showed two horns with space in between (appreciated retrospectively) | SLIUG with average gestational age of 7 weeks + 6 days with bicornuate uterus | Primigravida with CPD in labor | No anomalies | Bicornuate uterus communicating cavity, pregnancy in right horn |
7. | 30 | G2A1, 34 weeks + 5 days GA with cervical fibroid with footling presentation, moderate OH in active labor | Regular | G2A1, first pregnancy with spontaneous abortion during first trimester | Per vaginal examination in first trimester showed two horns with space in between (appreciated retrospectively) | SLIUG with average gestational age of 12 weeks with bicornuate uterus | Footling presentation | No anomalies | Bicornuate uterus |
8. | 35 | G3P2L2 with 39 weeks + 2 days GA with two previous LSCS with severe preeclampsia, high leak > 2 hours not in labor | Regular | G3P2L2, married life 10 years. First and second pregnancy uneventful | not contributary | normal findings | Previous two LSCS with severe preeclampsia with high leak | No anomalies | Unicornuate uterus |
9. | 30 | G2P1L1 40 weeks + 4 days GA with previous LSCS with H/O cardiac surgery, not in labor | Regular | G2P1L1, first baby healthy and LSCS done for CPD | not contributary | normal findings | Previous LSCS with threatened scar rupture | No anomalies | Unicornuate uterus |
10. | 28 | P2L2 for laparoscopic sterilization | Menarche at 13 years, regular | Married for 7 years. Both previous pregnancies uneventful | not contributary | N/A | N/A | N/A | Bicornuate uterus with rudimentary left horn |