Nursing Perspectives on Managing Pregnancy with Unicornuate Uterus: A Case Report.

Abstract

Background:
`Unicornuate uterus is a rare congenital uterine malformation resulting from incomplete development of one of the paired Müllerian ducts. It is associated with adverse reproductive outcomes such as infertility, recurrent pregnancy loss, increased miscarriages, preterm labor and adverse pregnancy outcomes. Diagnosis is often incidental during routine ultrasound or advanced imaging like 3D
ultrasonography. Management of pregnancy in women with unicornuate uterus requires a multidisciplinary approach due to the increased risk of cervical insufficiency and other complications. Prophylactic cervical cerclage is considered an effective intervention to prevent preterm birth in such high-risk pregnancies. Nursing care plays a crucial role in antenatal monitoring, patient education, and
supporting adherence to treatment plans.
Case summary:
We report the multidisciplinary management case of a 27-year-old pregnant woman with a unicornuate uterus who conceived naturally and underwent prophylactic cervical cerclage to prevent cervical insufficiency. Emphasizing nursing and midwifery perspectives.

Discussion:
Our present case study described the successful antenatal management of a 27-year-old woman with a unicornuate uterus. Despite a poor obstetric history observed natural conception and received prophylactic cervical cerclage to prevent cervical insufficiency. Although the patient remained asymptomatic inspite of associated anomalies throughout pregnancy. Early detection through routine
ultrasound and 3D imaging enabled timely multidisciplinary intervention. Nurses and midwives played a pivotal role through regular antenatal monitoring, psychological support, and individualized health education. Counseling on signs of preterm labor, activity restriction, and hygiene maintenance empowered the patient to participate actively in her care. This case emphasizes that with early
intervention and vigilant nursing care, favorable maternal and fetal outcomes are achievable even in complex pregnancies involving uterine anomalies.