Abstract
Abstract Objectives Müllerian anomalies are associated with infertility and worse pregnancy outcomes. Case presentation A 34-years-old primigravida patient affected by didelphys uterus and type 2 diabetes mellitus was admitted at 36.4 weeks with intrauterine fetal death. Labor was induced with oral Mifepristone and vaginal Dinoprostone. She had an uneventful vaginal delivery. Conclusions Pre-gestational evaluation should be recommended in each woman, in order to optimize clinical conditions in case of a chronic disease; moreover, if the patient is infertile Müllerian malformations should be excluded. In a didelphys uterus, the combination of Mifepristone and Dinoprostone could be a safe option for labor induction.
Highlights
In the general population, 5.5–6.7% of the female population is affected by uterine malformations [1]
A 34 years old, non-Caucasian, primigravida booked at our Department at 13.2 weeks. Her mother was affected by diabetes mellitus
She reported a personal history of 7 years of infertility without any assessment and she was obese, with a body mass index (BMI) of 33
Summary
5.5–6.7% of the female population is affected by uterine malformations [1].
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