Didelphys Uterus: A Reason for Recurrent Breech Presentation and Operative Abdominal Delivery

Abstract

Background: A didelphys uterus results from failed fusion of the paired Mullerian ducts characterized by the presence of two uteri, two cervixes, with or without a longitudinal vaginal septum. Pregnancies develop in one of the two horns, and of the major uterine malformations, the didelphys uterus has the best reproductive prognosis. Pregnancy is associated with an increased risk of malpresentations and premature labor, although many patients will have no reproductive difficulties.
Case presentation: Here we report a case of a 24 years gravida 4 para 3 who presented at gestational age (GA) of 38 weeks with compliance of urge to bear down of one-hour duration. She had three previous cesarean scars which were done all for breech presentation. The current pregnancy was also breech presentation. Emergency cesarean section (CS) was done to effect female alive neonate weighing 2600 grams with good Apgar score.
Conclusion: Didelphys uterus is one of the major uterine malformations which has best reproductive prognosis.