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Obstetric and Gynecological Nursing - The Carter Center

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vagina. <strong>The</strong> cause of these disruptions in embryonic<br />

development is usually not known; however, some patterns of<br />

vaginal <strong>and</strong> cervical abnormalities have been identified in<br />

daughters born to women who received diethylstilbestrol<br />

(DES) during pregnancy.<br />

11.1 Uterine Abnormalities<br />

Are manifested in variety of forms, but four simplified types<br />

are generally recognized.<br />

<strong>The</strong> septate uterus:- appears normal from the exterior, but it<br />

contains a septum that extends partially or completely from<br />

the fundus to the cervix, dividing the uterine cavity in to two<br />

compartments.<br />

<strong>The</strong> bicornuate uterus is roughly Y-shaped. <strong>The</strong> fundus is<br />

notched to various depths, <strong>and</strong> the patient may even appear<br />

to have a “double uterus”; however, there is only one cervix.<br />

A true double uterus results from a lack of mid line fusion <strong>and</strong><br />

two complete uterne, each with its own cervix, are formed.<br />

When both are fully formed, this is normally referred to as<br />

uterus didelphys. Occasionally, one of the uteri will not fully<br />

form, remaining as a rudimentary organ with out a cervix or a<br />

uterine cavity.<br />

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