Welcome to the ePoster Viewing Panel of AICOG 2025

INTRODUCTION- The prevalence of Congenital uterine anomalies is approximately 0.4-10% of general population .The rate of this anomalies in women with recurrent miscarraige are significantly higher. This condition arises from abnormal mullerian duct development, fusion or A unicornuate uterus with a rudimentary horn is an anomaly caused by the incomplete fusion of one of paired mullerian duct It is observed in only 0.1% of the general Mullerian anomaly carries significant obstetrical risks, including first- and second-trimester miscarriages, abnormal fetal positioning, restricted fetal growth, premature delivery, and rupture of the rudimentary horn. More than 50% of pregnancies associated with this anomaly have resulted in a rupture of the pregnant uterus, typically occurring during the third trimester and believed to be due to reduced muscle mass AIMS AND OBJECTIVES- -To understand the risks and challenges associated with unicornuate pregnancy such as fetal growth restriction and preterm labor. - Role of timely identification , meticulous monitoring and comprehensive counselling for optimal outcome in such cases. - Use of this case report for research and large scale studies better understanding of this rare and complex pregnancy. MATERIAL AND METHOD- We present an exceptional pregnancy case of a unicornuate uterus and non-communicating rudimentary horn. A 28-year-old woman, (G2A1) present with abdominal pain with show at 39 week of gestation. She had history of spontaneous abortion of mean gestational age of 2 month followed by dilation and curretage, 1 year back. On P/A and P/V examination we come to know that it was a full term pregnancy with breech presentation. An emergency C-section was performed and baby girl weigh 2600gm was delivered by breech presentation without complication. Intraoperatively on inspection, the uterus was found to have a cylindrical shape with a flattened right-side wall and the absence of a right tubal ostium and The cesarean section proceeded without complications, and the patient was discharged after the routine 48-hour postoperative clinical follow-up period. RESULTS- According to available record , her recent prenatal visit had been uneventful . She had a spontaneous Abortion of MGA of 2 month . The C-section also proceeded without complication with a delivery of healthy baby.This case report emphasizes the possible hazards and obstacles linked with unicornuate pregnancy, such as fetal growth restriction and preterm labor. Early identification and meticulous monitoring play a vital role in effectively managing such pregnancies, aiming to maximize favorable outcomes for both the fetus and mother. Providing counseling on potential risks and ensuring regular antenatal care is crucial to facilitate timely interventions and the effective management of any complications. CONCLUSION- Congenital uterine malformations, including a unicornuate uterus with a rudimentary horn, are relatively uncommon but significant conditions that impact women's reproductive health. Accurate diagnosis and classification of these malformations are crucial for managing and counseling affected individuals. However, determining the exact incidence remains challenging due to normal reproduction with many subtypes and personal choices regarding childbearing. Advancements in diagnostic techniques are needed to improve our understanding and healthcare strategies for these conditions, ensuring the well-being of women affected by congenital uterine malformations.