Management of Labor in Case of Transverse Vaginal Septum: A Case Report

Background: A transverse vaginal septum is a rare congenital uterovaginal anomaly that may be diagnosed for the first time during labor with a frequency of 1 in 70,000 females. A 20 years old primigravida with a postterm pregnancy whose diagnosis was only made during labor following digital vaginal and speculum examination. On examination, she was diagnosed as having a transverse vaginal septum with a pinpoint septal opening. The emergency caesarean section, followed by dilatation of the septum, was performed. Result: The post-operative event was smooth. Conclusion: To avoid obstructed labor and injuries to the mother and new-born prophylactic caesarean section is recommended in patients presenting with a transverse vaginal septum in labor, especially in women who have conceived after a long period of infertility.