Pregnancy outcomes in women with uterine anomalies: a South Indian case series

Congenital uterine anomalies (CUAs) are important causes of adverse pregnancy outcomes, including miscarriage, malpresentation, and preterm delivery. This case series evaluates obstetric and neonatal outcomes among women with CUAs managed at a tertiary care center in South India. This case series includes seven pregnant women with confirmed uterine anomalies managed at a tertiary care center in South India between January 2023 and December 2024. The anomalies included three cases of unicornuate uterus, three bicornuate uterus, and one complete septate uterus. Six women conceived spontaneously, while one required ovulation induction. Five underwent cesarean section, one had a successful vaginal delivery, and one required emergency laparotomy for a ruptured rudimentary horn. The breech presentation was observed in two cases. Neonatal outcomes were favorable in six cases; one case resulted in neonatal loss due to uterine rupture and maternal hemorrhagic shock. CUAs are associated with increased risks of malpresentation and surgical delivery. Early diagnosis and individualized antenatal care are crucial for optimizing maternal and fetal outcomes.