Pregnancy Outcomes in Three Distinct Uterine Anomalies: A Case Series

This case series presents three patients with distinct Müllerian anomalies, highlighting variability in diagnosis, clinical management, and obstetric outcomes. Case 1 involved uterine didelphys with pregnancy in the right hemi-uterus, resulting in non-reassuring fetal heart rate tracings, prompting repeat cesarean delivery at 37 weeks' and six days' gestation. Case 2 involved a unicornuate uterus with a noncommunicating rudimentary horn and persistent breech presentation, requiring a scheduled cesarean delivery at 38 weeks' gestation. Case 3 involved a partial septate uterus associated with breech presentation and chronic hypertension, managed with cesarean delivery at 37 weeks' and three days' gestation. These cases highlight variability in clinical presentation and management across anomaly subtypes. All patients underwent individualized surveillance, including serial growth ultrasounds, cervical length monitoring, and antepartum testing, with favorable maternal and neonatal outcomes.