Articles and Topics
What are the risks of having a “unicorn uterus”?
Amanda Pensacola
Unicornuate uteri are uncommon but not unheard of. In most cases, we never know that a patient has this condition until it is diagnosed at cesarean section or because of recurrent miscarriages. While having an unusually shaped uterus does pose some increased risk of pre-term labor, it is obvious to me that you can successfully carry a baby since you’ve done it twice. The early contractions you’ve experienced are truly irrelevant since you did not deliver a pre-term baby.

Your doctor’s information is certainly accurate in the case of a woman with recurrent pregnancy loss, but it may be overly cautious for someone with your history. I think it would be an excellent idea to speak with a perinatologist (high risk obstetrician) before considering a future pregnancy. I believe wholeheartedly that they will reassure you and help you make the best decision.

An unicornuate uterus has no impact on your baby or its health. Regarding the advisability of having a vaginal birth after cesarean section, the shape of your uterus does not increase your risk of complications. Therefore, you do not have a higher risk than any other woman who has had a prior cesarean section. I say go for it, as long as three considerations are met: 1. You understand there are small risks associated with a vaginal delivery after a cesarean section; 2. Your doctor is comfortable with your decision; and 3. The hospital where you will deliver is equipped to support your care.

I can’t emphasize strongly enough the importance of finding a doctor and hospital prepared to handle your specific medical issues. For more information, please refer to my article on this web site titled, “Where Will Your Baby Be Delivered? Important considerations for choosing a hospital” for more details.

Craig L. Bissinger M.D.