Q. Does cornual pregnancy pregnancy come under high-risk associated pregnancies?
Hello doctor,
I have a question regarding my recent fetal ultrasound. The fetal ultrasound reports showed right cornual pregnancy likely due to suspected uterine septum, not concerning for an ectopic pregnancy, and subchorionic bleeding likely from implantation. I want to know if I am at risk of rupture if it is not ectopic pregnancy based on cornual location. Will the baby grow away from this location? Will the bleeding stop? Is this considered high risk? Kindly suggest.
Hello,
Welcome to icliniq.com.
You are concerned about the risk of rupture due to a cornual pregnancy. A cornual pregnancy grows in one compartment of the uterus. The compartments are created due to a uterine septum. The space available to the growing fetus is lesser than in a normal uterine pregnancy. Still, there is no chance of rupture as the pregnancy is inside the uterus, which can expand during pregnancy, unlike an ectopic pregnancy outside the uterus. However, it does have certain other complications that could occur, like a higher risk of abortions, preterm labor, and fetal growth restrictions. I hope this helps you.
Thank you.
Hello doctor,
Thank you for the response. How long am I at risk for a miscarriage due to the septum? I had a full-term pregnancy at 41 weeks and five days before this. How was I able to have that baby full term with a septum? This current embryo is very high up on the right side. Is it likely the fetus will grow more into the uterus and move away from the top part? Also, will the bleeding go away, or will it increase? Kindly suggest.
Hello,
Welcome back to icliniq.com.
The risk of miscarriage is high during the first trimester. Your pregnancy can continue till full term too. Preterm labor is a risk known to occur in the septate uterus, but that does not mean all cases have it. The fetus will more likely grow towards the more roomy and nutritious area in the uterus (likely to grow down). The bleeding should most likely reduce. You might need progesterone supplementation to help with that. Hematoma generally gets absorbed within one to two weeks.
Thank you.
Hello doctor,
Am I at risk if I continue this cornual region pregnancy? Is it a dangerous region for a baby to be in, even if it is not ectopic? I have been having pelvic pain on both sides. Is this related to the embryo's placement? Also, can you help me understand where exactly this embryo is implanted? Is it high up and near the tube, or where is this region?
Hello,
Welcome back to icliniq.com.
The cornual region is the part of the uterus that connects to the fallopian tubes. The pain on both sides of the pelvis could be due to stretching of the round ligaments due to the growing fetus. There is no risk to you if you continue this pregnancy. The only risk is miscarriage and preterm labor.
Thank you.
Hello doctor,
Is this embryo close to the fallopian tube? Will the placenta attach to that area as well? Is it likely, that it was implanted here because of the septum, or what would cause it to implant in that spot? Is there any chance it could be an ectopic pregnancy? They said there was good myometrial thickness around the embryo, and because of the septate, they thought it was pushing the baby to the cornual area. I worry due to the pain. I am attaching the reports for your referenve. Kindly suggest.
Hello,
Welcome back to icliniq.com.
It is close to the fallopian tube and not attached to the tube. The placenta is implanted inside the uterus and not near the tube. It could have been implanted here as the septum generally does not have a good blood supply, and the placenta would not grow there. It is not an ectopic pregnancy based on the report (attachment removed to protect the patient's identity). If the pain is persistent, I recommend getting evaluated by your gynecologist, as I cannot examine and assess the pain.
Thank you.
Hello doctor,
Thank you for the answering all my queries.
hello,
Welcome back to icliniq.com.
I hope I have answered all your queries.
Thank you.
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