임신 20주 이상 지속된 선천성 자궁기형 환자에서의 산과적 예후 = The pregnancy outcome of women with congenital uterine anomaly exceeding 20 weeks of gestation

다국어 초록 (Multilingual Abstract)

Objective: To evaluate the pregnancy outcomes of women with congenital uterine anomaly exceeding 20 weeks of gestation. Methods: We reviewed retrospectively the birth records of the Seoul National University Hospital between January 1, 1990, and December 31, 2005. We grouped congenital uterine anomalies into five classes, namely bicornuate, didelphys, septate, arcuate, and unicornuate uterus. We compared the pregnancy outcomes with each anomaly. Results: We found 106 cases of congenital uterine anomaly within a given period of time. There were 63 cases of bicornuate uterus, 19 cases of didelphys, 16 cases of septate uterus, 5 cases of arcuate uterus, and 3 cases of unicornuate uterus. The overall preterm delivery rate was 22.6% (24/106) and cesarean section rate was 74.5% (79/106). A high cesarean section rate was due to metroplasty, abnormal fetal presentation, and uterine anomaly itself. The preterm delivery rate and cesarean section rate of each uterine anomaly did not differ statistically from one another. Five fetuses were stillborn, and one fetus died after birth because of a placenta abruption. The overall take-home baby rate was 94.3% (100/106). There was no maternal mortality and only one case was suffered from postpartum bleeding. Conclusion: Our results suggest that the most of women with uterine anomaly exceeding 20 weeks of gestation may take their baby home.

참고문헌 (Reference)

1 "선천성 자궁기형 환자에 대한 임상적 고찰" 38 : 1848-1853, 1995

2 "선천성 자궁기형 여성의 산과적 문제점에 관한 연구" 42 : 358-362, 1999

3 "선천성 자궁기형 37예에 대한 임상적고찰" 41 : 2356-2362, 1998

4 "선천성 자궁 기형 환자에서 자궁성형술 후 임신 예후에 관한 연구" 42 : 281-286, 1999

5 "Uterine anomalies, induction of labor, and uterine rupture" 106 (106): 1150-1152, 2005

6 "Shall we operate on Mullerian defects?: an introduction to the debate" 12 : 1371-1372, 1997

7 "Reproductive outcomes in women with uterine anomalies" 13 : 33-39, 2004

8 "Reproductive outcome after hysteroscopic metroplasty" 66 : 147-150, 1996

9 "Reproductive impact of congenital Mullerian anomalies" 12 : 2277-2281, 1997

10 "Recurrent miscarriage: aetiology, management and prognosis" 8 : 463-481, 2002

11 "Mullerian duct anomalies: imaging and clinical issues" 233 : 19-34, 2004

12 "Mullerian anomalies" 21 (21): 375-388, 2003

13 "MR imaging of maternal diseases of the abdomen and pelvis during pregnancy and the immediate postpartum period" 24 : 1301-1316, 2004

14 "Incidence of Mullerian defects in fertile and infertile women" 12 : 1372-1376, 1997

15 "Congenital defects of the reproductive tract clinical implications" contobstetgynecol1975;5

16 "Congenital Mullerian anomalies: diagnostic accuracy of three-dimensional ultrasound" 65 : 523-528, 1996

17 "Clinical implications of uterine malformations and hysteroscopic treatment results" 7 : 161-174, 2001

18 "Cervical cerclage-its role in the pregnant anomalous uterus" 164-70, intjfertil1990;35

19 "A new embryological classification of uro-gynecologic malformations The syndromes of mesonephric duct induced Mullerian deformities" 265-7, jurol1979;121