Outcome of pregnancy in women with uterine malformation: evaluation of 62 cases.

A retrospective analysis of the outcome of pregnancy in 62 women seen between 1971 and 1988, with a uterine malformation was carried out. Fifty-seven out of 62 cases with a uterine malformation conceived and there was a total of 127 pregnancies. On the other hand five women have an unexplained infertility of more than 2 years duration. The abortion rate among these 127 pregnancies was 36% premature delivery rate 22% and term delivery rate 42%. Cases with a complete septate uterus had the higher abortion rate. Metroplasty was done in three patients with a uterus bicornis and in six cases with a septate uterus. Cervical cerclage was done in 23 cases. Breech presentation was very frequent (46%). The cesarean section rate in the 81 cases whose pregnancy continued beyond the 28th week of pregnancy was 63%. Perinatal mortality rate was 37% and fetal survival rate 61%.