Successful simultaneous twin pregnancy in each horn of uterus didelphys: a case report
10.3760/cma.j.cn113903-20241112-00753
- VernacularTitle:双子宫同时妊娠并成功分娩1例
- Author:
Xiaohui LAN
1
;
Jing ZHAO
1
;
Xinwen ZHANG
1
;
Ying CAI
1
Author Information
1. 西安市人民医院（西安市第四医院）妇产科，西安 710004
- Publication Type:Journal Article
- Keywords:
Uterus didelphys;
Congenital uterine anomaly;
Twin pregnancy
- From:
Chinese Journal of Perinatal Medicine
2025;28(6):520-522
- CountryChina
- Language:Chinese
-
Abstract:
This paper reported a case of simultaneous twin pregnancy and successful delivery in each horn of uterus didelphys. The patient had a history of adverse pregnancies and was diagnosed with a uterus didelphys with double cervix through hysteroscopy, although the uterine cavity morphology was normal. This pregnancy was conceived naturally, with the last menstrual period on December 21, 2023. The patient underwent regular prenatal check-ups at Xi'an People's Hospital (Xi'an Fourth Hospital). Early pregnancy ultrasound confirmed simultaneous twin pregnancy in each horn of uterus didelphys. Multiple ultrasounds showed no fetal growth restriction or other abnormalities. At 37 weeks of gestation, the patient experienced chest tightness and shortness of breath due to polyhydramnios, and one fetus was in the cephalic position while the other was in the breech position, posing a high risk for vaginal delivery. Therefore, an elective cesarean section was performed at 37 weeks and one day of gestation, delivering a male infant weighing 3 260 g and a female infant weighing 2 400 g. The 1-,5-, and 10-minute Apgar scores were all 10 points, with favorable maternal and neonatal outcomes.
