Succesful Management of the Pregnancy Complicated with
Thrombophilia, Uterine Unicollis and Previous Pregnancy Loss:
A Case Report
Sertaç ESİN1 , M. Sinan BEKSAÇ1 , Sevim BALCI2
Ankara-Turkey
A 28 years old multigravid admitted to our maternal fetal medicine unit because of a second trimester loss of pregnancy due to preterm labor at 28 week. Her obstetrical history was uneventful. Ultrasonographic examination revealed a unicornuate uterus with rudimentary horn. Hyperhomocysteinemia caused by MTHFR heterozygosity and decrease in Protein S levels were found by blood analysis. Low dose aspirine and LWM Heparin were started 6 weeks before conception. Follow-up of the pregnancy in the functional unicornus resulted in a healthy baby delivered by cesarean section at 37 week due to chronic intrauterine hypoxia and uterine anomaly.
(Gynecol Obstet Reprod Med 2006; 12:215-218)
Key Words: Unicornuate uterus, Rudimentary horn, Thrombophilia