Advanced International Journal for Research

E-ISSN: 3048-7641   •   Impact Factor: 9.11

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Navigating Pregnancy With Uterus Didelphys In India : A Comprehensive Review Anchored By Two Breech Elective - Cesarean Births

Author(s) Dr. NIHARIKA SHARMA
Country India
Abstract Uterus didelphys—complete failure of Müllerian-duct fusion resulting in two discrete uterine cavities and usually two cervices—is a rare congenital anomaly that complicates barely 0.3 % of pregnancies worldwide and an even smaller, poorly documented fraction in India. High rates of mal-presentation, growth restriction, pre-term birth and cesarean section define its obstetric landscape. This 5,000-plus-word narrative review situates the Indian experience of uterus didelphys within global literature, synthesising 74 Indian case reports and small series published between 2000 and 2025 and anchoring discussion around two recent breech pregnancies managed at a tertiary referral centre in North India through elective lower-segment cesarean section (LSCS). We outline search methodology, diagnostic pathways, counselling nuances, mode-of-delivery decision-making and public-health implications under India’s mixed public–private maternity system. Practical algorithms aligned with FOGSI and Ministry of Health guidance are proposed.
Keywords Uterus didelphys, Müllerian anomaly, breech presentation, elective cesarean, pregnancy outcomes, congenital uterine malformations, preterm birth, intrauterine growth restriction, diagnostic pathways, maternal health
Field Medical / Pharmacy
Published In Volume 6, Issue 5, September-October 2025
Published On 2025-10-18
DOI https://doi.org/10.63363/aijfr.2025.v06i05.1476
Short DOI https://doi.org/g97nxx
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