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Chapter 5 - Congenital Uterine Malformations and Vaginal Anomalies
- By Bibi Zeyah Fatemah Sairally, Pallavi Latthe
Edited by Swati Jha, Sheffield Teaching Hospital NHS Foundation Trust, Priya Madhuvrata, Sheffield Teaching Hospital NHS Foundation Trust
Book:

Gynaecology for the Obstetrician

Published online:

14 July 2023

Print publication:

03 August 2023, pp 40-49
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Summary

Congenital uterine anomalies (CUAs) are deviations from normal anatomy that result from embryological maldevelopment of the Müllerian ducts. Most are asymptomatic and remain undiagnosed or are diagnosed and treated in adolescence. Some congenital malformations have been linked with adverse pregnancy outcomes such as recurrent miscarriages, infertility, preterm labour and malpresentation. Antenatally, some CUAs may indicate the use of cervical length scanning or growth scans. Intrapartum care for women with CUAs is comparable to the general population but there may be an increased risk of Caesarean section and other complications including vaginal dystocia and lacerations. Women who have been diagnosed with a CUA during pregnancy or parturition need to have additional investigations and treatment tailored to their individual anomaly post-natally.