Didelphys uterus: a successful induction of labor in a case of intrauterine fetal death near term

IF 0.1 Q4 OBSTETRICS & GYNECOLOGY

Case Reports in Perinatal Medicine Pub Date : 2022-01-01 DOI:10.1515/crpm-2021-0078

Algeri Paola, D’Oria Patrizia, Toto Valentina, Fenili Paola, Ermito Santina, Bonalumi Silvia, R. Denise, Ciammella Massimo

引用次数: 0

Abstract

Abstract Objectives Müllerian anomalies are associated with infertility and worse pregnancy outcomes. Case presentation A 34-years-old primigravida patient affected by didelphys uterus and type 2 diabetes mellitus was admitted at 36.4 weeks with intrauterine fetal death. Labor was induced with oral Mifepristone and vaginal Dinoprostone. She had an uneventful vaginal delivery. Conclusions Pre-gestational evaluation should be recommended in each woman, in order to optimize clinical conditions in case of a chronic disease; moreover, if the patient is infertile Müllerian malformations should be excluded. In a didelphys uterus, the combination of Mifepristone and Dinoprostone could be a safe option for labor induction.

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双子宫:一个成功引产的情况下，宫内胎儿死亡的近月

【摘要】目的: lerian异常与不孕症和不良妊娠结局有关。一例34岁的初产妇，子宫畸形合并2型糖尿病，在36.4周时因宫内死胎入院。口服米非司酮和阴道迪诺前列酮引产。她顺利地顺产了。结论建议对每一名妇女进行妊娠前评估，以优化慢性疾病的临床条件;此外，如果患者不孕，应排除勒氏管畸形。在双胎子宫中，米非司酮和迪诺前列酮联合使用可能是引产的安全选择。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Case Reports in Perinatal Medicine OBSTETRICS & GYNECOLOGY-

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期刊介绍： Case Reports in Perinatal Medicine is a double-blind peer-reviewed journal. The objective of the new journal is very similar to that of JPM. In addition to evidence-based studies, practitioners in clinical practice esteem especially exemplary reports of cases that reveal specific manifestations of diseases, its progress or its treatment. We consider case reports and series to be brief reports describing an isolated clinical case or a small number of cases. They may describe new or uncommon diagnoses, unusual outcomes or prognosis, new or infrequently used therapies and side effects of therapy not usually discovered in clinical trials. They represent the basic concept of experiences for studies on representative groups for further evidence-based research. The potential roles of case reports and case series are: Recognition and description of new diseases Detection of drug side effects (adverse or beneficial) Study of mechanisms of disease Medical education and audit Recognition of rare manifestations of disease.