Ruptured rudimentary horn pregnancy of unicornuate uterus: a case report

Unicornuate uterus with rudimentary horn occurs due to failure of complete development of one of the Mullerian ducts and incomplete fusion with the contralateral side. Pregnancy in the noncommunicating rudimentary horn is extremely rare and usually terminates in rupture during first or second trimester of pregnancy. Pregnancy occurs via transperitoneal migration of sperm or zygote. Variable thickness of rudimentary horn musculature, poor distensibility of myometrium lead to rupture. This complication is usually seen in 2nd trimester resulting in shock and haemoperitoneum. Diagnosis of rudimentary horn pregnancy is difficult and can be missed in ultrasound. It requires a high risk of suspicion. We report a case of G2A1 with pregnancy of 20 weeks gestation which was suspected as intraabdominal pregnancy on ultrasound and on laparotomy a live fetus of 19 weeks in intact gestational sac was found in ruptured left noncommunication horn of unicornuate uterus with haemoperitoneum. Timely laparotomy, excision of the horn and blood transfusion saved the patient

Study of association of maternal triglycerides level with neonatal macrosomia in non-obese non-diabetic pregnant women

Maternal dyslipidemia experts potential and adverse impacts on pregnant women and newborns. However, the association between maternal serum triglycerides level and the risk of macrosomia has not yet been clearly studied.We did this study for association between the maternal serum triglycerides level and risk of macrosomia among the non-diabetic and non obese pregnant women. To find the associations of maternal triglyceride levels with neonatal  macrosomia in non-obese and pregnant women without Diabetes Mellitus . SCB Medical College, Cuttack, Odisha, India.  This was a escriptive cross-sectional study of  100 pregnant patients with BMI less than 30. The medical records of 100 non obese and non-diabetic pregnant women  at term were prospectively analyzed. Maternal fasting serum triglyceride levels were measured during late pregnancy. Scatter diagram was used to analyze the variables associated with the risk of macrosomia. Maternal TG level was higher in patient with macrosomia babies (333.00 ± 51.62) compare to those without macrosomia (253.15 ± 81.02). This difference in mean was statistically significant (P value = 0.001) (Table 5). There was a positive correlation between birth weight and maternal triglyceride level which was statistically significant with correlation coefficient value of 0.278 (r) and p value of 0.005.&nbsp