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Obstetric and Gynecological Nursing - The Carter Center

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A double cervix has two separate cervices in one uterus<br />

vaginal abnormalities also occur. <strong>The</strong> most common<br />

abnormality is the presence of vaginal septa <strong>and</strong> some time<br />

there is an absence of vagina.<br />

Causes<br />

A. Errors of sinus canalization<br />

- Imperforated hymen<br />

- Complete or paritial vaginal atresia<br />

- Parital transvers membreane (occurs in the upper vagina)<br />

B. Failure of re-canalization of the Mullerian ducts. This<br />

will head to atresia of the upper vagina or of the cervix.<br />

C. Failure of fusion of the mullerian ducts- Lead to a<br />

double uterus, a double cervix <strong>and</strong> two vagina opening in to a<br />

common vulva, or into two vulvae.<br />

D. Failure of development of one or both mullerian ducts<br />

- Absence of one duct- unicrnuate uterus with single<br />

oviduct<br />

- Incomplte development of one duct results in unicrnuate<br />

uterus with two ducts<br />

- Half or paricial of vagina (fuction normally)<br />

- Absence of both -ducts means that neither oviducts nor<br />

uterus is present<br />

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