{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,7,30]],"date-time":"2025-07-30T14:55:42Z","timestamp":1753887342714,"version":"3.41.2"},"reference-count":9,"publisher":"Walter de Gruyter GmbH","issue":"1","license":[{"start":{"date-parts":[[2023,1,1]],"date-time":"2023-01-01T00:00:00Z","timestamp":1672531200000},"content-version":"unspecified","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2023,1,27]]},"abstract":"Abstract<\/jats:title>\n \n Objectives<\/jats:title>\n With increasing rates of cesarean delivery across the United States, a trial of labor after cesarean (TOLAC) is a reasonable alternative for qualified candidates. Although M\u00fcllerian anomalies are associated with a variety of adverse pregnancy outcomes, there is little existing data regarding TOLAC in these patients. We present a case of a patient with a didelphys uterus who achieved a successful vaginal birth after cesarean section (VBAC) in the setting of labor augmentation.<\/jats:p>\n <\/jats:sec>\n \n Case presentation<\/jats:title>\n Our patient is a 32-year-old G4P1021 (Gravida 4 Para 1,021\u20131 term delivery, 0 preterm deliveries, 2 abortions, 1 living offspring) who presented at 8\u00a0weeks of gestation with a known history of a didelphys uterus. Her obstetrical history was significant for a prior low-transverse cesarean section at term. All four of her pregnancies were located in the right uterine horn. At 39\u00a0weeks 3\u00a0days of gestation she presented in early labor and requested a TOLAC. She received an epidural, a cervical ripening balloon was placed, and she was started on pitocin. She pushed to deliver a viable infant. The patient\u2019s postpartum course was uncomplicated, and she was discharged home on postpartum day two.<\/jats:p>\n <\/jats:sec>\n \n Conclusions<\/jats:title>\n M\u00fcllerian anomalies are associated with several poor pregnancy outcomes including increased rates of PPROM, preterm delivery, FGR, and malpresentation necessitating a cesarean section. Our patient required augmentation of her labor but was ultimately able to achieve a successful VBAC with a healthy neonate. She represents an understudied population of patients with uterine anomalies who not only can have favorable pregnancy outcomes but may even be able to safely achieve a VBAC.<\/jats:p>\n <\/jats:sec>","DOI":"10.1515\/crpm-2023-0005","type":"journal-article","created":{"date-parts":[[2023,9,2]],"date-time":"2023-09-02T07:20:31Z","timestamp":1693639231000},"source":"Crossref","is-referenced-by-count":0,"title":["A successful vaginal birth after cesarean in a patient with uterine didelphys"],"prefix":"10.1515","volume":"12","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-7864-4621","authenticated-orcid":false,"given":"Samantha","family":"Gobioff","sequence":"first","affiliation":[{"name":"Department of Obstetrics and Gynecology , Lenox Hill Hospital\u00a0\u2013 Northwell Health\/Zucker School of Medicine , New York , NY , USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Michael","family":"Plakogiannis","sequence":"additional","affiliation":[{"name":"Department of Obstetrics and Gynecology , Lenox Hill Hospital\u00a0\u2013 Northwell Health\/Zucker School of Medicine , New York , NY , USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Amos","family":"Gr\u00fcnebaum","sequence":"additional","affiliation":[{"name":"Department of Obstetrics and Gynecology , Lenox Hill Hospital\u00a0\u2013 Northwell Health\/Zucker School of Medicine , New York , NY , USA"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"374","published-online":{"date-parts":[[2023,9,4]]},"reference":[{"key":"2023090207202833640_j_crpm-2023-0005_ref_001","doi-asserted-by":"crossref","unstructured":"Osterman, M. Vital statistics rapid release, number 21: changes in primary and repeat cesarean delivery: United States, 2016\u20132021. Centers for Disease Control and Prevention \u2013 National Center for Health Statistics; 2022.","DOI":"10.15620\/cdc:117432"},{"key":"2023090207202833640_j_crpm-2023-0005_ref_002","doi-asserted-by":"crossref","unstructured":"ACOG Practice Bulletin No. 205. Vaginal birth after cesarean delivery. Obstet Gynecol 2019;133:e110\u201327.","DOI":"10.1097\/AOG.0000000000003078"},{"key":"2023090207202833640_j_crpm-2023-0005_ref_003","unstructured":"The Eunice Kennedy Shriver National Institute of Child Health and Human Development (NICHD). Vaginal birth after cesarean (VBAC) calculator. Washington, DC; 2021."},{"key":"2023090207202833640_j_crpm-2023-0005_ref_004","doi-asserted-by":"crossref","unstructured":"Erez, O, Dukler, D, Novack, L, Rozen, A, Zolotnik, L, Bashiri, A, et al.. Trial of labor and vaginal birth after cesarean section in patients with uterine M\u00fcllerian anomalies: a population-based study. Am J Obstet Gynecol 2007;196:537.e1\u201311. https:\/\/doi.org\/10.1016\/j.ajog.2007.01.012.","DOI":"10.1016\/j.ajog.2007.01.012"},{"key":"2023090207202833640_j_crpm-2023-0005_ref_005","doi-asserted-by":"crossref","unstructured":"Bhagavath, B, Greiner, E, Griffiths, KM, Winter, T, Alur-Gupta, S, Richardson, C, et al.. Uterine malformations: an update of diagnosis,\u00a0management, and outcomes. Obstet Gynecol Surv 2017;72:377\u201392. https:\/\/doi.org\/10.1097\/ogx.0000000000000444.","DOI":"10.1097\/OGX.0000000000000444"},{"key":"2023090207202833640_j_crpm-2023-0005_ref_006","doi-asserted-by":"crossref","unstructured":"Altwerger, G, Pritchard, AM, Black, JD, Sfakianaki, AK. Uterine didelphys and vaginal birth after cesarean delivery. Obstet Gynecol 2015;125:157\u20139. https:\/\/doi.org\/10.1097\/aog.0000000000000505.","DOI":"10.1097\/AOG.0000000000000505"},{"key":"2023090207202833640_j_crpm-2023-0005_ref_007","doi-asserted-by":"crossref","unstructured":"Rezai, S, Bisram, P, Lora Alcantara, I, Upadhyay, R, Lara, C, Elmadjian, M. Didelphys uterus: a case report and review of the literature. Case Rep Obstet Gynecol 2015;2015:1\u20135. https:\/\/doi.org\/10.1155\/2015\/865821.","DOI":"10.1155\/2015\/865821"},{"key":"2023090207202833640_j_crpm-2023-0005_ref_008","doi-asserted-by":"crossref","unstructured":"Hua, M, Odibo, AO, Longman, RE, Macones, GA, Roehl, KA, Cahill, AG. Congenital uterine anomalies and adverse pregnancy outcomes. Am J Obstet Gynecol 2011;205:558.e1\u20135. https:\/\/doi.org\/10.1016\/j.ajog.2011.07.022.","DOI":"10.1016\/j.ajog.2011.07.022"},{"key":"2023090207202833640_j_crpm-2023-0005_ref_009","doi-asserted-by":"crossref","unstructured":"Wang, S, Wang, K, Hu, Q, Liao, H, Wang, X, Yu, H. Perinatal outcomes of women with M\u00fcllerian anomalies. Arch Gynecol Obstet 2023;307:1209\u201316. https:\/\/doi.org\/10.1007\/s00404-022-06557-6.","DOI":"10.1007\/s00404-022-06557-6"}],"container-title":["Case Reports in Perinatal Medicine"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/www.degruyter.com\/document\/doi\/10.1515\/crpm-2023-0005\/xml","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/www.degruyter.com\/document\/doi\/10.1515\/crpm-2023-0005\/pdf","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2023,9,2]],"date-time":"2023-09-02T07:20:36Z","timestamp":1693639236000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.degruyter.com\/document\/doi\/10.1515\/crpm-2023-0005\/html"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2023,1,1]]},"references-count":9,"journal-issue":{"issue":"1","published-online":{"date-parts":[[2023,9,4]]},"published-print":{"date-parts":[[2023,1,27]]}},"alternative-id":["10.1515\/crpm-2023-0005"],"URL":"https:\/\/doi.org\/10.1515\/crpm-2023-0005","relation":{},"ISSN":["2192-8959"],"issn-type":[{"type":"electronic","value":"2192-8959"}],"subject":[],"published":{"date-parts":[[2023,1,1]]},"article-number":"20230005"}}