Abstract:

Objective: To analysis of maternal and fetal outcome of cesarean section in late pregnancy of the septate uterus. Methods: 160 pregnant patients ≥ 34 weeks with cesarean section were collected at Tongji Hospital, Tongji Medical College, Huazhong University of Science and Technology. Research group are 80 pregnant pateints with septate uterus, while control group are randomly select 80 pregnant patients with normal uterus. The general condition, placental and fetal condition, intraoperative bleeding and neonatal condition of pregnant women in the two groups were compared. Results: The age, pregnancy times, prenatal body mass, assisted reproduction, maternal complications, placental abnormalities, premature rupture of membranes, umbilical cord around the neck for two cycles or more, intraoperative bleeding, neonatal asphyxia and low birth weight infants are compared between two groups, which show no statistically significant (P>0.05). The number of previous births, gestational weeks and birth weight of newborns in septate uterus group were lower than those in control group, and the proportion of fetal breech position was higher than that in control group, the difference was statistically significant (P<0.05). Conclusions: Pregnant patients with septate uterus ≥ 34 weeks always have clinical issues with fetal position. Appropriate cesarean section can result in a similar maternal and fetal outcome to that of pregnant women with a normal uterus.

Key words: Uterus, Congenital abnormalities, Pregnancy trimester, third, Cesarean section, Ultrasonography, Pregnancy outcome