Furthermore, a keen UpToDate opinion towards “Congenital uterine defects: Health-related manifestations and you will prognosis” (Laufer and you will ) claims one “Uterus didelphys, or twice womb, is a replication of your own reproductive structures. Basically, new duplication is bound toward womb and you can cervix (uterine didelphys and you can bicollis [dos cervixes]), even in the event replication of your own vulva, bladder, urethra, vagina, and you may arse also can occur. Fifteen so you can 20% off people that have didelphic uterus also have unilateral defects, like an obstructed hemivagina and you will ipsilateral kidney agenesis; new anomalies are on the best inside 65% out-of instances. Uterine didelphys takes place when the 2 Mullerian ducts fail to fuse. Medical diagnosis is typically produced by a combination of ultrasound demonstrating dos commonly broke up uterine horns with a-deep fundal indentation and speculum test indicating 2 cervixes. MRI is actually scarcely must build a definitive diagnosis”.
Krishnan and colleagues (2020) examined the concordance between 2nd-trimester anatomic US and fetal echocardiography in detecting minor and critical CHD in pregnancies meeting American Heart Association (AHA) criteria. These investigators carried out a retrospective cohort study of pregnancies in which a 2nd-trimester fetal anatomic US examination (18 to 26 weeks) and fetal echocardiography were conducted between 2012 and 2018 at the authors’ institution based on AHA recommendations. Anatomic US studies were interpreted by maternal-fetal medicine specialists and fetal echocardiographic studies by pediatric cardiologists. The primary outcome was the proportion of critical CHD (CCHD) cases not detected by anatomic US but detected by fetal echocardiography. The secondary outcome was the proportion of total CHD cases missed by anatomic US but detected by fetal echocardiography.