ABSTRACT
Objective: to observe clinical presentations of uterine anomalies
Material and Methods: uterine anomalies were detected during prenatal ultrasonography, detected during LSCS done for various obstetric indications. Discovered during EUA, and detected during laparoscopy or laparotomy. The clinical data of these patients was reviewed regarding age, parity, marital status and presenting symptoms. All data was entered in pre designed proforma and analyzed using SPSS version 14
Results: total 43 cases of uterine anomalies were detected. Most common type of anomaly detected was bicornuate uterus followed by uterus didelphys, arcuate uterus, unicornuate uterus with non-communicating horn and septate uterus. These anomalies clinically presented with fetal malpresentations, dysmenorrhoea, retained placenta ·and primary infertility. Diagnosis was confirmed puring prenatal USG, examination under anesthesia, during LSCS, during laparoscopy and laparotomy
Conclusion: women with uterine anomalies complain of symptoms such as dysmenorrhea, pelvic pain, but most are asymptomatic and diagnosed incidentally. They are frequently complicated by obstetrical challenges such as preterm labor, mal presentation and uterine atony. Thus, when diagnosis of uterine anomaly is made, it is crucial to discuss with patients about their expected prognosis on fertility and possible obstetrical outcomes and complications and to provide appropriate therapy accordingly