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Fetal Medicine

Structural Abnormalities in the Uterus: A Guide for Expectant Mothers

Uterine abnormalities can significantly impact pregnancy outcomes, affecting fertility or the ability to carry a pregnancy to term. These structural issues can be detected through ultrasound or other imaging techniques during prenatal visits. Understanding these abnormalities is key to managing them effectively and ensuring a healthy pregnancy.

Common Uterine Abnormalities

  • Uterine Septum: A condition where the uterus has a fibrous or muscular septum dividing the uterine cavity. This can lead to miscarriage or preterm birth.
  • Bicornuate Uterus: A congenital condition where the uterus is heart-shaped, with two cavities instead of one. It may lead to complications like miscarriage or premature labour.
  • Fibroids: Non-cancerous growths that can interfere with pregnancy by obstructing the placenta or causing premature labour.

Diagnosing Uterine Abnormalities

  • 3D Transvaginal Ultrasound: The primary diagnostic tool for detecting uterine abnormalities.
  • Hysterosalpingography (HSG): An X-ray procedure that evaluates the shape of the uterus and fallopian tubes.
  • MRI: A more detailed imaging technique for assessing the size, location, and extent of uterine abnormalities.

Managing Uterine Abnormalities During Pregnancy

  • Monitoring: Regular ultrasounds to track the baby’s growth and development.
  • Surgical Correction: In some cases, surgical procedures like septum resection or fibroid removal may be necessary before or during pregnancy.
  • Supportive Care: Extra monitoring during pregnancy to manage risks and complications associated with uterine abnormalities.

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