What Should Be Done For Pregnancy In A Rudimentary Horn?
Posted on Mon, 24 Feb 2014
94965
Question: Hi, i am 29 years old and 8 weeks pregnant. i had first baby 7 years back and discharge summary tells that i have bicornuate uterus and the baby is in left horn. Right is rudimentary. Attaching discharge summary for your review.
I have some complications then, like bed rest and stitches to uterus in 4th month.
Now i am 8 weeks pregnant and baby is in right horn this time...will i be having same complications or even more this time.
I am more worries bcoz my discharge summary says that right side is rudimentary.
Please advice me if i can continue this pregnancy or not. I have googled and did not see even a single success case.
will be waiting for your reply.
Brief Answer:
TERMINATION IS THE ONLY OPTION
Detailed Answer:
Hello
Thanks for writing to us with your health concern.
Pregnancy in a rudimentary horn is very very rare.
And yes, your previous discharge summary does mention that the right horn is rudimentary.
It almost inevitably ruptures , and the management is termination of the pregnancy before rupture occurs, by a laparotomy.
I hope that the previous discharge summary is correct, and no error was made in the diagnosis.
Have you consulted an obstetrician during this pregnancy ?
Has any ultrasound scan been done ?
If this is indeed a bicornuate uterus, with pregnancy in the rudimentary horn, then the only safe way for you is to have a termination at the earliest.
All the best to you.
Please do feel to discuss further.
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What Should Be Done For Pregnancy In A Rudimentary Horn?
Brief Answer:
TERMINATION IS THE ONLY OPTION
Detailed Answer:
Hello
Thanks for writing to us with your health concern.
Pregnancy in a rudimentary horn is very very rare.
And yes, your previous discharge summary does mention that the right horn is rudimentary.
It almost inevitably ruptures , and the management is termination of the pregnancy before rupture occurs, by a laparotomy.
I hope that the previous discharge summary is correct, and no error was made in the diagnosis.
Have you consulted an obstetrician during this pregnancy ?
Has any ultrasound scan been done ?
If this is indeed a bicornuate uterus, with pregnancy in the rudimentary horn, then the only safe way for you is to have a termination at the earliest.
All the best to you.
Please do feel to discuss further.