What does double uterus mean? Can double uterus give birth naturally? Generally speaking, one of the two wombs of a woman with double uterus is well developed and the other is stunted. I believe everyone wants to know this question. Let's follow me to see what double uterus means. I hope it works for you!
What does double uterus mean? 1 Double uterus, also known as double uterus, means that a woman has two uterus, which is a kind of uterine duplication and belongs to reproductive tract malformation. The occurrence of double uterus is due to the normal development of mullerian ducts on both sides during embryonic development, but they do not completely converge. Each Mullerian tube develops into a uterus, with only fallopian tubes and ovaries on the left and right sides, and connective tissue between the two uterus, often combining double cervix and double vagina. The clinical manifestations of double uterus are prolonged menstrual period, increased menstrual volume, infertility and various pregnancy complications such as abortion, premature delivery and abnormal fetal position. Pre-pregnancy B-ultrasound can make a definite diagnosis, often without special treatment.
The probability of female double uterus is one in ten thousand to one in thirty thousand, which is one of many types of birth defects. There are four types of double uterus: double uterus and double vagina, double uterus and double cervix and single vagina, and double horn uterus and mediastinal uterus.
1, double uterus and double vagina: double uterus and double vagina refers to having two sets of uterus, two cervix and vaginal septum, that is, two vaginas.
2, double uterus double cervix single vagina: double uterus double cervix single vagina has two sets of uterus, two cervix and one vagina, no vaginal septum.
3. Double-horned uterus: The double-horned uterus looks like a "heart-shaped" uterus, which may be symmetrical and equal in size, or it may be a big one and a small one.
4. Mediastinal uterus: Mediastinal uterus means that there is a thick layer of uterine muscle in the middle of the uterine cavity, which divides the uterine cavity into two smaller uterine cavities.
Double uterus is generally found by accident in induced abortion, prenatal examination and even childbirth. Double uterus pregnancy means that pregnancy occurs in one uterus or two uterus at the same time. The probability of twin pregnancy is very low, only one in five million. Therefore, we can do a good job of pre-pregnancy examination to prepare for pregnancy and adopt appropriate pregnancy methods.
Can twins have children?
Double uterus can give birth to children, although the birth rate is affected, it can still be pregnant and have children, but for the safety of fetus and mother, caesarean section is generally used for delivery.
If pregnant women have double uterus, special attention should be paid to prenatal examination. Because the development of uterine cavity will affect the healthy development of fetus, if the development of uterine cavity is not good, then the development of fetus will also be affected. Women with double uterus should pay more attention to rest after pregnancy and extend the gestational age as much as possible. There are more spontaneous abortions in patients with double uterus and fewer patients with normal delivery. In order not to affect the health of the fetal mother, caesarean section is generally needed to give birth to a child smoothly. Therefore, women with double uterus suggest caesarean section after pregnancy.
According to the literature, the incidence of twin uterus is 1 10,000-30,000, and the incidence of twin pregnancy is 1.2%. Twins are mostly located in one uterine cavity of twin uterus, but both uteruses are pregnant at the same time, and the situation in the third trimester is rare, with an incidence of one in ten thousand. Therefore, for twin pregnancy, caesarean section rate is higher. Pregnant women need to stay in bed, strengthen pregnancy examination, avoid miscarriage, stillbirth and premature delivery, strengthen the observation of labor process during delivery, deal with complications in time, and relax the indications of cesarean section when necessary to ensure the safety of mother and baby.
Children born in double uterus are usually delivered by caesarean section. During cesarean section of twin pregnancy, attention should be paid to the choice of uterine incision because the uterus on the pregnant side is relatively small. It is advisable to make a small incision in the lower part of the uterus, and then cut it with scissors to prevent tearing on both sides. If the fetus is dystocia, a T-shaped incision should be considered to avoid fetal birth injury caused by forced traction.
Can double uterus give birth naturally?
Although the natural delivery usually takes a long time and the maternal pain is greater, there are still many women who are willing to have a natural delivery, because it is much better than caesarean section, at least it is still intact after delivery, with no defects, and the recovery of natural delivery is better than caesarean section. So can pregnant women with twin uterus give birth naturally?
In the third trimester of pregnancy, the abnormal rate of fetal position in double uterus increases, the non-pregnant uterus may hinder the decline of fetal presentation during delivery, uterine inertia is more common, and the probability of caesarean section will be higher. Pay more attention to rest during pregnancy, strengthen nutrition and have regular physical examination. When approaching delivery, consider your own situation, such as height, weight and fetal condition, and the conditions allow you to give birth under close supervision.
What does double uterus mean? What are the advantages and disadvantages of double uterus?
Under normal circumstances, there will be no strange feelings, which are generally discovered after affecting sexual life and pregnancy. After finding it, don't worry, go to a regular hospital for help and do a detailed examination. Relevant studies have proved that the infertility rate caused by vaginal diseases is extremely low, only 1%-5%, so if this situation does not affect normal life, you can not rush to have surgery first. When double vaginas affect sexual life, hinder menstrual blood exclusion or have fertility requirements and must be treated, you can go to a regular hospital for vaginal mediastinal resection.
Generally, patients with completely asymptomatic mediastinum do not need special treatment. If it causes difficulty in sexual intercourse and affects pregnancy or delivery, mediastinal resection can be performed during non-pregnancy period. If the mediastinum is found to hinder the descent of fetal head during labor, it can be removed along the central part of the septum and sutured after delivery to stop bleeding. Excision of mediastinum may improve the pregnancy chances of women with double vaginal infertility.
For the treatment of vaginal oblique septum, surgical resection of oblique septum or rhomboidectomy should be done as soon as possible. The operation is relatively simple and can be completed under local anesthesia. The edge of the incision should be electrocoagulation to stop bleeding or sutured intermittently with catgut to prevent adhesion from causing operation failure. Besides paying attention to local hygiene after operation, special attention should be paid to preventing urinary tract infection and protecting kidneys.
The vaginal septum with dysfunction must be operated as soon as possible. Incomplete vaginal septotomy is feasible. The intact diaphragm can be surgically cut, the menstrual blood is exhausted, and then the diaphragm is taken out, and the edge of the wound at the base is sutured intermittently with small intestine line. After operation, oil gauze should be filled to compress and expand the vagina to prevent adhesion or stenosis. If necessary, a vaginal mold should be provided after operation. For patients with hematocele in uterine cavity or fallopian tube, after removing diaphragm, first place a hard drainage tube, then fill the gauze strip, and then fill the gauze strip around the drainage tube, so that the accumulated menstrual blood or effusion can be discharged smoothly, and use a vaginal mold as needed.
What are the advantages and disadvantages of double uterus? After that, we should especially remind female friends to have regular gynecological examinations to make themselves more aware of their physical condition, and don't worry too much about female friends with double uterus. Now it can be treated by surgery, which generally does not affect the fertility problem.