Quite often a woman can become pregnant even if she has such abnormalities of genital organs as a narrowing of the vagina, inflammatory processes in the uterus and ovaries that are chronic, anomalies of development or immaturity of the uterus, all kinds of tumors in the pelvic area.
However, the course of pregnancy with the attendance of such serious pathologies, as well as childbirth and pedestrian rehabilitation, can be extremely complicated.
Dysplasia of the genitals
Infantilism of the uterus in a pregnant woman can be determined on the basis of the medical history - the conditions of development in childhood, as well as the late period of the onset of menstrual bleeding. If the pregnancy has not yet occurred, the diagnosis can be made based on the results of a bimanual vaginal examination - the lumen of the vagina is narrow, and the uterus does not correspond to the normal size.
Dysplasia is one of the factors of infertility in women. With infantilism, women manage to become pregnant not immediately, following the onset of an active sexual life. However, the onset of pregnancy often results in involuntary miscarriage or early childbirth. If pregnancy can be reported, it is often possible to observe primary or secondary weakness of labor, which, in turn, can provoke placental detachment and heavy bleeding. Dysplasia can cause sub-evolution of the uterus in the postpartum period, that is, the complications of uterine contraction to normal size.
Therapy in this situation is symptomatic, that is, it is aimed at avoiding stressful situations, as well as physical overstrain. When the birth occurs, doctors closely monitor the patient's condition in time to eliminate possible pathologies of labor, distress syndrome or abnormalities during the third stage of labor.
Hereditary pathologies of genital organs
To the category of hereditary pathologies of sexual organs it is customary to classify a group of diseases characterized by anomalies in the development of these organs. Part of the ailments completely excludes the possibility of pregnancy, for example, because of the absence of the uterus.
A number of anomalies in the development of pelvic organs still suggests the occurrence of pregnancy, in particular:
With a two-finger vaginal examination, it is easy to diagnose a bifurcated uterus or vaginal septum. The diagnosis is confirmed by ultrasound.
The appearance of scar tissue and septa can be caused not only by hereditary abnormalities. As a rule, such pathologies develop due to the production of chemical burns or transferred diphtheria. If the lumen of the vagina is severely narrowed, it is not possible to give birth physiologically. Caesarean section is shown in such situations. The septum in the vagina, which prevents the passage of the presenting part of the fetus, is subject to dissection. This procedure does not cause bleeding.
The split uterus (uterus duplex) makes it possible for pregnancy to occur simultaneously in each individual half. Nevertheless, as a rule, with this pathology, a woman's pregnancy occurs only in one of the cells. At this time, the second part of the uterus slightly increases in size, and endometrial cells undergo decidual changes.
When the saddle type of the uterus, when the cavity is located partially or completely separating the septum, reporting the pregnancy before the due date is rather difficult. In cases where a woman succeeds in communicating a pregnancy, it is often possible to ascertain the weakness of labor. The same can be observed with early and urgent delivery. Early exfoliation of the placenta and transverse position of the fetus are possible complications in this pathology.
Unicorn uterus, as a rule, does not cause complications during pregnancy and subsequent childbirth. The fertilized egg can develop and be implanted in the embryonic horn of the uterus. The cause of an abnormal attachment of the egg can be its movement from the ovary to the rudimentary horn tube (migratio ovi externa), as well as migration of the sperm from the tube of the functioning horn to the underdeveloped (migratio spermatosoidae externa). The wall of the embryonic horn of the uterus at the onset of pregnancy at the point of attachment of the egg begins to germinate with the villi of the chorion. In this case, the forming fetal egg with time exerts pressure on the wall. Subsequently, the fertility rate is broken, which occurs during the 14-18 weeks of pregnancy or somewhat later. This process is accompanied by heavy intra-abdominal bleeding, which can lead to death of the patient from shock or acute anemia, if the rudimentary horn is not removed in time.
Implantation of the ovum in the embryonic horn is one of the variants of an ectopic pregnancy. This is a very dangerous condition. Therefore, such a diagnosis requires immediate surgical care, suggesting either resection of the anomalous horn, or removal of the entire uterus along with the appendages.
Any pathology of development of genital organs pose a threat to the normal course of pregnancy and fetal fattening before the term. In such cases, the wrong position of the baby in the uterus - oblique or transverse, as well as pelvic presentation - is often diagnosed. Generic activities can be rather weak or uncoordinated. With indications for cesarean section in the presence of a double uterus, it is desirable to audit the second half to remove the decidual membrane.