Document Detail

Successful twin pregnancy in a patient with complete uterine septum corrected during cesarean section.
MedLine Citation:
PMID:  16595235     Owner:  NLM     Status:  MEDLINE    
OBJECTIVE: To describe a successful in vitro fertilization (IVF) twin pregnancy in a patient with complete uterine septum who underwent partial correction during cesarean section. DESIGN: Case report. SETTING: An IVF unit at a university hospital. PATIENT(S): A 29-year-old female patient with complete uterine septum undergoing IVF-intracytoplasmic sperm injection. INTERVENTION(S): In vitro fertilization-intracytoplasmic sperm injection with single embryo transfer to each uterine cavity. MAIN OUTCOME MEASURE(S): Pregnancy course and outcome. RESULT(S): Both transferred embryos underwent implantation, resulting in twin pregnancy with a single embryo in each hemi-uterus. Cesarean section was performed at 34 weeks' gestation. Two healthy neonates were born. Resection of the uterine septum by electrocauterization was attempted during cesarean section. Diagnostic hysteroscopy performed 6 months later demonstrated the presence of the uterine septum reaching approximately 40% of the cavity. CONCLUSION(S): Whether prophylactic metroplasty should be performed in patients with uterine septae without prior history of miscarriage or pregnancy complications is still under debate. Successful implantation and fetal development might occur without prior metroplasty, as described in our case report. Metroplasty during cesarean section might be only partly successful because part of the septum might be confined in the stretched gravid uterus.
Ariel Weissman; Ido Eldar; Gustavo Malinger; Oscar Sadan; Marek Glezerman; David Levran
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Publication Detail:
Type:  Case Reports; Journal Article    
Journal Detail:
Title:  Fertility and sterility     Volume:  85     ISSN:  1556-5653     ISO Abbreviation:  Fertil. Steril.     Publication Date:  2006 Feb 
Date Detail:
Created Date:  2006-04-05     Completed Date:  2006-05-08     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  0372772     Medline TA:  Fertil Steril     Country:  United States    
Other Details:
Languages:  eng     Pagination:  494.e11-4     Citation Subset:  IM    
In Vitro Fertilization Unit, Edith Wolfson Medical Center, Holon, Israel.
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MeSH Terms
Cesarean Section*
Fertilization in Vitro
Pregnancy Outcome*
Pregnancy, Multiple*
Sperm Injections, Intracytoplasmic
Uterus / abnormalities*,  surgery*,  ultrasonography

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine

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