Publication:

Fetomaternal outcome in pregnancies with reproductive tract anomalies

Background Congenital reproductive tract anomalies result from abnormal formation, fusion or resorption of the mullerian ducts during fetal life. Pregnancies with reproductive tract anomalies are known to have higher incidence of spontaneous abortions, fetal malpresentations, preterm labour, preterm premature rupture of membranes and increased cesarean section rate. The present study was conducted to describe the fetal and maternal outcomes among pregnant women with uncorrected reproductive tract anomalies in a tertiary care centre, Manipur, India.

Methods A hospital based cross sectional study was conducted among pregnant women with uncorrected reproductive tract anomalies in regional institute of medical sciences, Imphal, Manipur, India between September 2018 to August 2020.

Results A total of 62 pregnant women with uterine anomalies were included in the study. Bicornuate uterus was the most common uterine anomaly (45.2%) followed by arcuate uterus (19.3%). Cesarean section was conducted in 72.6% of the pregnant women and its major indication was fetal malpresentation (breech). Maternal complications were present in56.5% of the pregnancies and fetal complications in 27.4% of the newborns.

Conclusions The current study has shown a significant association between uterine anomalies and maternal and fetal complications including premature rupture of membranes, fetal malpresentation and increased caesarean section rate. Further studies involving bigger sample size will help in understanding the problem more and hence in the prevention of the complications in future.