Bicornuate Uterus: Can I Deliver Vaginally?

I have a bicornate uterus, discovered after the cesarean birth of my first child. My doctor says because the wall goes down a fourth of the length of my uterus all of my children would be transverse breech with low birth weight. My three children weighed between five pounds six ounces and six pounds one ounce, and all were transverse breech. Other doctors in our HMO see no reason why I cannot deliver a seven- to eight-pound baby vaginally. They said the baby would "move" the wall out of the way and lie properly.

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Peg Plumbo CNM

Peg Plumbo has been a certified nurse-midwife (CNM) since 1976. She has assisted at over 1,000 births and currently teaches in the... Read more

I have had several clients who have bicornuate uteri. Some miscarry and are unable to carry any pregnancy, and others have very normal pregnancies and deliver eight-pound babies. The determining factor is the extent and location of the septum, and where the ovum implants.

I would not have made such a prediction as did your first obstetrician, but he certainly seemed to be correct, and your history would indicate that this may well repeat itself. However, there is a chance that -- depending upon the site of implantation -- you could deliver a term baby of good weight. But your first obstetrician had the advantage of actually seeing the structure of your uterus, so might be in a better position to predict outcome. If you had cesareans with all of your children, you could possibly attempt a trial of labor.

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