PREGNANCY AND ITS OUTCOME IN WOMEN WITH MALFORMED UTERUS

<正>To analyze the clinical characteristics of fertility and pregnancy in women with congenital uterine malformations and explore optimal treatments to improve the prognosis.Methods. A retrospective study was conducted on the fertility and obstetric outcome in 153 patients with uterine malformations treated in our hospital from January 1984 to December 1998. Twenty - seven cases with other kinds of genital and/or urinary anomalies but with normal uterus during the same period were enrolled as the control group.Results. The infertility rate was 26. 6% (34/128), the miscarriage rate 44. 3% (86/194), premature birth rate 9. 3% (18/194), abnormal fetal presentation rate 28. 4% (29/102), the cesarean section rate 61. 8% (63/102), and the perinatal mortality rate 11. 8% (12/102).Conclusion. Women with congenital uterine malformation usually have higher incidence of infertility and complications during pregnancy and delivery. Bicornuate and septate uterus can be associated with poor obstetric outcome.