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Obstetric and Gynecological Nursing - The Carter Center

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CHAPTER ELEVEN<br />

CONGENITAL ANOMALIES OF THE<br />

FEMALE GENITAL ORGANS<br />

At the end of this chapter the students will be able to:<br />

1. Mention the effect of female congenital anomalies on<br />

pregnancy<br />

2. List different type of uterine abnormality.<br />

<strong>The</strong> female genital tract is formed in early embryonic life when<br />

pair of ducts develop. <strong>The</strong>se paramesonephric or mullerian<br />

ducts come together in the midline <strong>and</strong> fuse in to a Y-shaped<br />

canal. <strong>The</strong> open upper ends of this structure open in to the<br />

peritoneal cavity <strong>and</strong> the fused portions become the uterine<br />

tubes. <strong>The</strong> fused lower portion forms the uterovaginal area<br />

which further develops in to the uterus <strong>and</strong> the vagina.<br />

Anomalies arise primarily from the alteration of the fusion<br />

process. Failure of the ducts to fuse normally results in two<br />

partially or completely separated tracts. Failure of one duct to<br />

mature results in a one-sided tract. Incomplete fusion of one<br />

or both ducts causes faulty canalization <strong>and</strong> formation of a<br />

transverse vaginal septum, or more very, absence of the<br />

253

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