Özet:

Congenital uterine anomalies are commonly associated with poor perinatal outcome. One of the most common abnormality is the bicornuate uterus.We describe two cases of bicornuate uterus and their successful outcome. 1st case: 26 years old, carrier of (3-thalassemia with bicornuate uterus diagnosed in previous ultrasound screening. She had one previous spontaneous miscarriage and one intrauterine death at 24th week of gestation due to oligoydramnio, both in the left horn of uterus. From antenatal care we had no signiŞcant Şndings. Pregnancy situated in the right horn. At 24th week we recorded uterine contractions that were treated. At 28th and 32nd week of gestaton we administrate steroids. At 37th week we performed cesarean section giving birth in a male of 3060gr and intraoperatively we conŞrmed the diagnosis of a horn-shaped branches of uterus. 2nd case: 29 years old, primipara, with ultrasound diagnosis of pregnancy in the right horn of bicornuate uterus. She was carrier of P-thalassemia, with no previous pregnancies and unknown for the abnormality of the uterus. From antenatal care we had no signiŞcant Şndings. Cervical cerclage was performed at 14th week. At 36th week spontaneous rupture of mem-branes conduct us to emergency cesarean section giving birth in a female of 3120gr. The overall fetal loss rate of women with bicornuate uteri is reported to be approximately 40% with a 30% spontaneous abortion rate. Intervention depends on whether the abnormality interferes with coitus or pregnancy. In literature modiŞed Shirodkar cervical cerclage is recom-mended for the best outcome of pregnancies in bicornuate uterus especially in those women with a history of preterm deliv-ery. Surgical correction of a bicornuate uterus has been advocated for women with recurrent pregnancy loss in whom no other etiologic factor has been identiŞed. The Strassman metroplasty procedure was Şrst described in 1907 and was designed for the uniŞcation of similar-sized endometrial cavities.

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