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Re: Bicornuate Uterus, subsequent pregnanciesFrom: George M. Grunert (grunert@ICSI.Net)Wed Jun 4 12:06:21 1997
> She now is thinking about a 3rd child, and I've always told her to > "count her blessings." I've told her my gut feeling is that she would > have another uneventful pregnancy, but that she still is at a higher > risk of prematurity, although probably not as high as the literature > says *given* her clinical history. My MFM consultant feels the same, ie > that her preterm risk may be lower than the 40 or 50% quoted, maybe > about 20 or 25%, but he has no literature. > Having participated in one ot the cited studies, the problem with the studies is that patients had to have a reproductive loss to be diagnosed, so uncomplicated patients never got diagnosed and included. I have seen patients with unicornate and bicornate uteri as well as patients with complete duplication and normal reproductive histories who were diagnosed incidentally. Personally, I would quote her the literature stats as a worst case scenario and then tell her that her chances are probably lower.
-- George M. Grunert, M.D. Director ART Program, Woman's Hospital of Texas 7550 Fannin Houston, TX 77054 713-512-7851 fax 713-512-7853 grunert@icsi.net
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