Hi,

Thanks for writing to us.

Bicornuate uterus was earlier thought to cause infertility but recent studies did not prove that. Pregnancy with a bicornuate uterus has the following complications:
---Increased risk of pregnancy loss--while a septate uterus is often misdiagnosed as a bicornuate uterus, and is responsible for recurrent abortions, a bicornuate uterus can lead to term pregnancies. The degree of malformation can determine a pregnancy reaching full-term.
---Increased risk of preterm labor--about 15% - 25% ---usually caused by the restricted uterine volume when the pregnancy begins to grow toward one of the horns and a shortened cervix is a good predictor for the risk.
----Malpresentations--a breech presentation is seen in almost half of pregnancies with a partial anomaly and is nil in a complete bicornuate uterus. Other malpresentation that may be seen is a transverse presentation.
---Deformities--Malformations or deformities are more likely in offspring born to mothers with a bicornuate uterus.

As the diagnosis is mostly made during pregnancy, no active intervention is done in the majority and watchful expectancy is followed with early intervention. If the diagnosis is made before conception, laparoscopic reconstruction may be tried at expert hands.

Hope I have answered your query. Please feel free to contact if you need further clarifications. I will be happy to help.

regards,
Shanti.V.

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Hi,

Thanks for writing back.

If you mean that you have total separation of the uterus, cervix and the vagina due to complete failure of fusion, well, the cause of the miscarriages could possibly be due to lodging on the thinnest part of the uterine wall or due to decreased area for growth. If the miscarriages occurred in mid-trimester, you should suspect cervical incompetence as the cause because, in many cases of bicornuate uterus there is an association of short cervix which could be used as a guide to predict problems.

You did not say at what period of pregnancy your previous miscarriages happened and at what stage of pregnancy you are in now. If you have passed by your risk period, then it is likely that your pregnancy would go on to term. You would need regular monitoring and watchful expectancy. You should take at least 2 hours of bed rest during the day and 8 hours of rest during the night. Please avoid sexual intercourse as your pregnancy is very precious and also avoid any form of stress.

Hope I have answered your doubt. Please get back if you have any more questions. I will be happy to help.

regards,
Shanti.V.

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