Pregnancy anamnesis and delivery in females with abnormalities of the internal genitalia

: The ability to deliver a living infant was examined in 65 women with genital malformations, in a retrospective clinical study. 87 deliveries resulted, the overall abortion rate was 35%. 44% of pregnancies proceeded without any complications, in 46% the first pregnancy led to the birth of a living child. Classification of genital malformations displayed a dominancy of severe forms like uterus duplex, bicornis and septus. Comparison of severe and mild uterovaginal anomalies revealed no significant differences concerning course and duration of pregnancy, birth weight and perinatal outcome of the newborn, whereas frequency of operative deliveries raised significantly in the group of severe defects, Apgar scores after one minute appeared significantly lower. A remarkable accumulation of breech presentations (50%) in combination with increased obstetric complications led to 82% of operative deliveries. The birth of 58% of boys caused a shifting of the sex ratio. The perinatal offspring was encouraging; 73% of the newborn could leave the clinic together with their mothers.