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bicornuate uterus?

post #1 of 9
Thread Starter 

Anyone else have a bicornuate uterus? This is my second pregnancy(miscarried the first time)and I was wondering if anyone knows anything about it...as far as if there are any kind of risks or things i should know??

post #2 of 9

Interesting. Just looked it up. My mother was told she had an underdeveloped uterus in the 1960s before sonograms. She suffered two stillbirths at 6 months+ before being able to have my sister, who was quite small at birth...then myself, who was quite large! Probably not the same issue, but who knows.

 

My uterus was pretty normal from what I gather, except that it was "tilted", which can create problems. My placenta was not normal with my second child. I had a double placenta, or an extra lobe. I also suffered an abruption, but luckily, my preemie survived and is healthy today.

 

Interestingly, both my babies were breech from day one...every sonogram they were scrunched up, folded in half, and they barely moved. I was told I had lower fluid, so it was too risky to try to move the baby manually from the outside...Needless to say, I had two c-sections.

 

Looks like you will be considered high risk. With today's technology and medical advances, you should be well informed as to what is going on "inside". Good luck to you!

post #3 of 9
I have a heart shaped uterus too smile.gif How far along are you?
I had 2 MC's prior to my DS, who was born breech at 35 weeks (went into labor, showed up at the hospital at 9cm and had an emergency CS faster than you'd get a pizza delivered). My OB says that it is likely that my current pregnancy will be similar - there just isn't enough room for the baby to flip if they haven't already at a certain point, and they decide when it's time to come out when there's no more room to grow either.
I was high risk for my first, but after an initial perinatal visit this time around am seeing the regular OB as there is nothing that can be done to prevent preterm labor/birth in this case.
Incidentally, I recently met a nurse who had two 32-weekers and told me she had the same heart shaped uterus issue. Whether that means my baby will arrive the same week remains to be seen, but I'm preparing for that possibility.
post #4 of 9
Thread Starter 
I'm 9 weeks smile.gif and do you know if it's usual to go into preterm labor with heart shaped uterus?
post #5 of 9
I also have a heart shaped uterus. I just found that out in Feb. I had 2 miscarriages, then my 1st was born at 36 wks. My 2nd, 3rd, and 4th were born at 39 wks. My 5th at 38 wks. Then I had another miscarriage in Feb. And that's when I found out about my heart shaped uterus. I'm now almost 13 wks pg.
post #6 of 9
Quote:
Originally Posted by ohhkayrachel View Post

I'm 9 weeks smile.gif and do you know if it's usual to go into preterm labor with heart shaped uterus?
I think it depends on the severity of the septum or dip in the middle. Apparently the only way to know the exact shape
is from an MRI or special ultrasound with saline while not pregnant. It can vary from just a slight dip to creating two separate areas.
They told me that it brings a higher risk of miscarriage, but only in retrospect thought it was the cause of my preterm labor - that would be a good question to ask.
I liked seeing 100%mom's response. Maybe the abnormal shape can stretch out so preterm labor isn't inevitable.
Congrats by the way smile.gif
post #7 of 9

possible considerations include:
- a slightly higher risk of hemmorage at birth
- breech or less optimal presentations of baby (mine were both head down anterior)

- less efficiency in nutrient exchange via the placenta (make sure your nutritional intake is amazing)

- pre-term labor

- higher instance of miscarriage (but not still birth from my understanding)

- early placental breakdown

 

However, inspite of these my providers did not treat me as high risk this current pregnancy until I got gestational diabetes. Now that coupled with the bicornuate is making them nervous. (I wish I had taken more focus on my food intake and exercise earlier on in pergnancy.) All of my providers and the perinatalogist (and some of the reading I have done) - all support the idea that the septum will move or stretch to some degree in pregnancy, which is why it was never caught for me last pregnancy.

 

I also find providers tend to have inconsistent fundal height measurements for me. ugh. My Dr and the Perinatalogist said the key considerations are:
- where the placenta attaches in relation to the fundus/septum
- if you have a completely fused septum (making 2 cavities)
- to watch for a proprtionate growth later in pregnancy.  

Otherwise they are not too concerned with the size of my septum, but rather if baby is growing appropriately. Early in pregnancy I had planned a homebirth (which was ruled out because of the diabetes) and the midwives had recommended some 3rd trimester ultrasounds. My OB at the time recommended one at 32 weeks and 36 weeks and offered (but didn't recommend/push) non-stress tests weekly starting at 32 weeks if I wanted them. My current providers now have me doing bio-physical profiles and NST once a week (because of the bicornuate and diabetes combined.)

If you are concerned about optimal fetal positioning I would recommend the exercises on spinningbabies.com, chiropractic/osteopathic, massage, yoga and such to encourage a more optimal presentation for the baby. My babies were both breech and this current occupant was transverse for awhile and now he is head down. Of course the more time the get comfy in the position, the more likely they will stay that way because it is harder to move them

good luck mama.

post #8 of 9
Thread Starter 
Quote:
Originally Posted by PixieLittle View Post

I think it depends on the severity of the septum or dip in the middle. Apparently the only way to know the exact shape
is from an MRI or special ultrasound with saline while not pregnant. It can vary from just a slight dip to creating two separate areas.
They told me that it brings a higher risk of miscarriage, but only in retrospect thought it was the cause of my preterm labor - that would be a good question to ask.
I liked seeing 100%mom's response. Maybe the abnormal shape can stretch out so preterm labor isn't inevitable.
Congrats by the way smile.gif

Mine almost looks like two separate uterus's. I've had a ton of ultrasounds before I was pregnant because I've had problems with ovarian cysts so that's how I found out about my uterus, when I was about 14. I've been eating very healthy and exercising since about a month before I got pregnant, but it's so hard to resist cravings!!
post #9 of 9

My friend had this. She had several miscarriages before finally getting surgery on her uterus. After surgery she never had any more problems. She's got 3 kids now.
 

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