Author(s)

Justin Desrochers, Kalun Boudreau, Adewale Adegbenro

Department of Medicine, University of British Colombia, Vancouver, Canada.

Background: Uterus didelphys is a Müllerian duct anomaly which is clinically significant because only 45% of UD patients achieve term delivery and have associated increased risk of spontaneous abortion, foetal growth retardation, mal presentation, and a significant caesarean section delivery rate. Case: A 26-year-old Gravida 2 Para 1 Abortion 1 woman with uterus didelphys and associated complete, non-communicating, longitudinal vaginal septum carries a pregnancy to term in her right uterus in rural Canada. She delivers her baby at 41 weeks gestational age via vacuum assisted spontaneous vaginal delivery. Conclusion: This case report supports more recent literature that uterus didelphys should not be considered as an absolute indication for caesarean delivery. A trial of labour is conceivable with obstetrician gynaecologist involvement in more rural centers with a care plan in place.

Pregnancy, Delivery, Uterus Didelphys, Didelphys Uterus, Müllerian Duct Anomaly

Desrochers, J. , Boudreau, K. and Adegbenro, A. (2017) Unilateral Singleton Pregnancy with Rural Vaginal Delivery in a Woman with Uterus Didelphys. Open Journal of Obstetrics and Gynecology, 7, 639-648. doi: 10.4236/ojog.2017.76066.