Successful external cephalic version in a patient with uterus didelphys and fetal malpresentation.
obstetrics and gynaecology
pregnancy
Journal
BMJ case reports
ISSN: 1757-790X
Titre abrégé: BMJ Case Rep
Pays: England
ID NLM: 101526291
Informations de publication
Date de publication:
19 Nov 2019
19 Nov 2019
Historique:
entrez:
22
11
2019
pubmed:
22
11
2019
medline:
4
4
2020
Statut:
epublish
Résumé
Müllerian anomalies are congenital malformations of the female reproductive organs that occur when the müllerian ducts develop abnormally. Different types of müllerian anomalies have different pregnancy outcomes. Breech presentation is a common occurrence in pregnant women with uterus didelphys, and caesarean section is the traditional mode of delivery under such circumstances. Here, we present the case of a 29-year-old woman (gravida 2, para 1) with her fetus in a frank breech presentation. The patient had a known history of uterus didelphys and previous vaginal delivery. She elected to undergo external cephalic version (ECV) at 37 weeks with a trial of labour at 39 weeks as opposed to planned cesarean delivery. The version was successful, and the fetus was subsequently delivered vaginally without complications. This case demonstrates ECV as a possible option in women with uterus didelphys, provided the risks of the procedure are carefully weighed and individualised to each patient.
Identifiants
pubmed: 31748355
pii: 12/11/e230965
doi: 10.1136/bcr-2019-230965
pmc: PMC6887399
pii:
doi:
Types de publication
Case Reports
Journal Article
Langues
eng
Sous-ensembles de citation
IM
Informations de copyright
© BMJ Publishing Group Limited 2019. No commercial re-use. See rights and permissions. Published by BMJ.
Déclaration de conflit d'intérêts
Competing interests: None declared.
Références
Acta Obstet Gynecol Scand. 2013 Feb;92(2):137-42
pubmed: 22994660
Birth. 2002 Mar;29(1):28-39
pubmed: 11843787
J Matern Fetal Neonatal Med. 2014 Jun;27(9):949-53
pubmed: 24050215
BMJ. 1996 Jun 8;312(7044):1451-3
pubmed: 8664622
Eur J Obstet Gynecol Reprod Biol. 1984 Jul;17(5):345-50
pubmed: 6479426
Obstet Gynecol. 2015 Jan;125(1):157-159
pubmed: 25560118
Fetal Diagn Ther. 2004 Jan-Feb;19(1):68-71
pubmed: 14646421
J Obstet Gynaecol. 1999 Jul;19(4):427-8
pubmed: 15512351
BJOG. 2002 Jun;109(6):618-23
pubmed: 12118637
BMJ Case Rep. 2017 Jun 5;2017:
pubmed: 28584004
BMJ Case Rep. 2015 Nov 17;2015:
pubmed: 26578507
N Engl J Med. 2003 Mar 6;348(10):946-50
pubmed: 12621140
J Obstet Gynaecol. 1999 May;19(3):314-5
pubmed: 15512311
Cochrane Database Syst Rev. 2015 Apr 01;(4):CD000083
pubmed: 25828903
Obstet Gynecol. 1976 Apr;47(4):427-9
pubmed: 1256726
Obstet Gynecol. 2004 Nov;104(5 Pt 2):1154-6
pubmed: 15516434