Preemies

Anyone have a preemie due to a bicornuate uterus

Hello there,

I was diagnosed with a bicornuate uterus at 6 weeks but it was never brought up again until my 28 week appointment.  I was measuring 3 weeks behind (fundal height) so they did a growth US and baby was measuring right on time.

Well I went to my 32 wk appt yesterday and my midwife suddently seemed concerned, she said she thinks the baby is maybe getting cramped in there and asked me over and over if i had been feeling her move a lot, which I have.  Her heartrate was also 147, which I guess is good.  My MW said i need to be very very observant and call right away if there is reduced movement...now I am just feeling COMPLETELY freaked out.  I have almost called twice today and then LO will start to dance,  did anyone else go through this?

 Thanks so much!

Re: Anyone have a preemie due to a bicornuate uterus

  • I have a few complications, and one of them is a septated uterus. Not, bicornate, but there are a few similarities. LO had restricted  area and ultimately was delivered early due to IUGR. (the septation wasn't found until the c-section). I had lots of NST towards the end, did kick counts 1-2 times a day, and had a doppler at home for stressful moments when I thought she was too quiet.

    It was stressful and scary when I learned she was measuring behind at 32 weeks, but everyone was prepared and extra vigilant for the 4 weeks after that. GL. I hope she stays in there and keeps growning!

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  • I knew I had a bicornuate uterus and I was told at the beginning of my pregnancy that I may go into labor prematurely, and at 32 weeks DD was measuring 3 weeks behind. I was put on hospital bedrest for 2 weeks and had to deliver her at 34 weeks 5 days due to IUGR. They still aren't sure if the bicornuate uterus is what caused the IUGR though.
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  • I had an early u/s due to some bleeding, which is when they noticed that I may have a bicornuate uterus (this was confirmed by u/s after delivery).  My OB seemed to think that this was not directly related to the pre-eclampsia that caused me to have a preemie.  It sounds like next time I'm pregnant, they'll do another early u/s to determine where baby is implanted. 

    Sorry you have to worry about this!  Hopefully everything goes smoothly and you have an uneventful remaining 8 weeks! 

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  • I do. I think I posted a response to your post on the high risk board too. Anyway I had bleeding at 13 wks when they found my BU and then went into preterm labor at 26 and 28 and ended up having to be induced at 28 due to Pre-E. Looks like I would've kept going into preterm labor and had to have DD anyway since she was 2 wks behind in size.
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  • An ultrasound is not a good diagnosis of a bicornated uterus. They can only be truely diagnoises by an MRI, or by actually seeing the structure of the uterus to determine what is uterus and what is septum. Septums can be repaired. That's improtant because septums don't cause too many issues and can actually be repaired. A bicornatue cannot.

    I have a bicornuate uterus that is severly bicronated. One of my horns is half the size of the other. Of course that is the side both my babies ended up being on. With my first pregnancy I had no complications and delivered (by scheduled c/s because of my uterus shape) at 39 weeks.

    With my second prengnacy I abrupted at 30 weeks. Mostly due to the bicornatued uterus. My placenta was attached at the very top of the horn. As it grew, it started to fold over onto itself and ended up partially detaching. I was in the hospital for about a week then delivered via c-section at 31 weeks. I feel pretty certain that if my placenta was a little lower I would have had another full term delivery.

    Most people with a bicornate uterus can deliver with no complications. The biggest side effect is having to have a c-section either because the baby is breech or because the uterus is misshaped and cannot contract properly to bring the baby down.  it's always good to side with caution and be seen if anything concerns you, but most people don't have any issues and rarely even know they have a bicornate uterus. Good luck to you! :)

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