Does cornual pregnancy pregnancy come under high-risk associated pregnancies?

Question

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.

Answer 1

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.

Answer 2

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.

Answer 3

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.

Answer 4

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.

Answer 5

hello,

Welcome back to icliniq.com.

I hope I have answered all your queries.

Thank you.