Second Trimester Dilation & Evacuation in a Patient with Uterus Didelphys

Second Trimester Dilation & Evacuation in a Patient with Uterus Didelphys

Haley Glatthorn

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Glenmarie Matthews

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GJMR Volume 20 Issue E5

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The objective of our study was to evaluate, in a population of Togolese People Living With HIV(PLWHIV), the agreement between three scores derived from the general population namely the Framingham score, the Systematic Coronary Risk Evaluation (SCORE), the evaluation of the cardiovascular risk (CVR) according to the World Health Organization.

Uterus didelphys is one of the rarest of the Mullerian duct anomalies and can lead to unique obstetric and gynecologic outcomes and considerations. This case describes a patient with known uterus didelphys and intact longitudinal vaginal septum who desired termination of pregnancy at 17 weeks gestation due to fetal anomaly. She underwent dilation and evacuation (D&E) under ultrasound guidance and the pregnancy was removed from the right-sided uterus. Preoperative mifepristone and misoprostol were used for cervical ripening. This case demonstrates that second trimester D&E can be safely performed on patients with uterus didelphys and is aided by the adjunctive use of prostaglandins, mifepristone, and ultrasound guidance to avoid intraoperative complications.

References

Anne Devi Wold,Norma Pham,Aydin Arici (2006). Anatomic Factors in Recurrent Pregnancy Loss.
P Heinonen (1984). Uterus didelphys: a report of 26 cases.
Lisa Goldthwaite,Stephanie Teal (2014). Controversies in Family Planning: Pregnancy Termination in Women with Uterine Anatomic Abnormalities.
Beth Prairie,Michele Lauria,Nathalie Kapp,Todd Mackenzie,Emily Baker,Karen George (2007). Mifepristone versus laminaria: a randomized controlled trial of cervical ripening in midtrimester termination.
Pentti Heinonen (2000). Clinical implications of the didelphic uterus: long-term follow-up of 49 cases.
Yohei Maki,Seishi Furukawa,Hiroshi Sameshima,Tsuyomu Ikenoue (2013). Independent uterine contractions in simultaneous twin pregnancy in each horn of the uterus didelphys.

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Haley Glatthorn

Glenmarie Matthews

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No external funding was declared for this work.

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The authors declare no conflict of interest.

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No ethics committee approval was required for this article type.

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Not applicable for this article.

Haley Glatthorn. 2020. “. Global Journal of Medical Research - E: Gynecology & Obstetrics GJMR-E Volume 20 (GJMR Volume 20 Issue E5): .

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GJMR Volume 20 Issue E5
Pg. 23- 25

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Journal Specifications

Crossref Journal DOI 10.17406/gjmra

Print ISSN 0975-5888

e-ISSN 2249-4618

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GJMR-E Classification: NLMC Code: WP 1

Submission ReceivedDecember 8, 2019
RevisedDecember 8, 2019
Peer Review Double Blind
Handling Editor
Accepted January 4, 2020
Published January 15, 2020

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English

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