Can the child of mediastinal uterus be full-term?

summary

The main cause of female uterine mediastinum, congenital, is formed in the mother. The uterine mediastinum is congenital and is present in the mother. Most of the patients with uterine mediastinal disease have no symptoms, and some of them may have increased menstruation; However, most of the uterine mediastinum have a history of recurrent abortion, infertility, premature birth and abnormal fetal position, some of which are found in cesarean section or artificial abortion curettage; Secondly, some patients found vaginal mediastinum in pelvic examination, and doctors found mediastinal uterus in further examination. Uterine mediastinum is a kind of congenital uterine malformation, which is formed in the process of congenital uterine development. It can lead to infertility, difficult pregnancy, or increased ectopic pregnancy, fetal arrest, spontaneous abortion, premature birth, fetal malposition, etc. Can a child with mediastinal uterus be full-term?

Can the child of mediastinal uterus be full-term?

Patients with mediastinal uterus can be pregnant, but the probability of full-term normal birth is very small. Due to the poor implantation of early pregnant eggs, resulting in habitual abortion, due to poor uterine muscle development, uterine muscle tension, the formation of pressure on the fetus, resulting in mid pregnancy premature delivery. Because the content of the uterine cavity is smaller than the normal uterus, it is easy to have abnormal fetal position, such as breech position, and it is easy to have dystocia or postpartum hemorrhage during delivery.

Uterine mediastinum and pregnancy is often due to the influence of mediastinum, uterine cavity deformation, leading to increased incidence of late pregnancy complications, such as premature birth rate of ll% ~ 28%. After orthopedic surgery, premature birth rate can be reduced to 6% ~ 9%. Uterine malformation can also lead to abnormal fetal position, uterine contraction dysfunction, fetal disc retention and other obstetric complications.

The incidence of uterine mediastinum and pregnancy was 17% ~ 35%, and the pregnancy rate after mediastinal hysterectomy was 48%. Some scholars believe that mediastinal uterus is not a factor leading to infertility, but in patients with secondary infertility, the incidence of unexplained infertility increased significantly as high as 40%. Therefore, it can not be excluded that uterine mediastinum is one of the factors affecting pregnancy in such patients.

matters needing attention

Habitual abortion recurrent abortion according to statistics, nearly 15% - 25% of recurrent abortion is caused by abnormal uterus, in which the mediastinal uterus accounts for the majority. The incidence of mediastinal uterus is very high in women with repeated pregnancy failure, especially in early pregnancy failure. Therefore, regular prenatal examination should be carried out to ensure the normal birth of the child.