Double uterus with double pregnancy

Abstract

1.1. A case of uterus didelphys is reported. The patient presented a problem of sterility which was presumably corrected by dividing the vaginal septum and by administration of hormonal therapy.2.2. Pregnancy took place in both uteri during the same cycle.3.3. One fetus turned spontaneously from a breech to a cephalic presentation some time during the last twenty-one days of pregnancy.4.4. Labor started spontaneously in the thirty-eighth week of gestation.5.5. Delivery of both infants was through the vaginal route, the one from the left uterus being born first and the other from the right being born fourteen hours later. Labor in the right uterus had to be initiated by rupture of the membranes and administration of intravenous Pitocin.6.6. It is suggested that one of the causes of the pregnancy occurring in only one of the uteri in cases of uterus didelphys may be the presence of the vaginal septum. A division of the septum renders each cervix equally accessible to the admission of spermatozoa with subsequent pregnancy in either one or both uteri.