Management of Labor in Case of Transverse Vaginal Septum: A Case Report

Fistum Taye, Luli Baisa, Daniel Aboma
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Abstract

Background: A transverse vaginal septum is a rare congenital uterovaginal anomaly that may be diagnosed for the first time during labor with a frequency of 1 in 70,000 females. A 20 years old primigravida with a postterm pregnancy whose diagnosis was only made during labor following digital vaginal and speculum examination. On examination, she was diagnosed as having a transverse vaginal septum with a pinpoint septal opening. The emergency caesarean section, followed by dilatation of the septum, was performed. Result: The post-operative event was smooth. Conclusion: To avoid obstructed labor and injuries to the mother and new-born prophylactic caesarean section is recommended in patients presenting with a transverse vaginal septum in labor, especially in women who have conceived after a long period of infertility.
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阴道横隔分娩的处理:1例报告
背景:阴道横隔是一种罕见的先天性子宫阴道异常,可能在分娩时首次被诊断出来,发生率为7万分之一。一个20岁的初产妇与晚期妊娠,诊断是在分娩过程中通过手指阴道和窥镜检查。经检查,她被诊断为阴道横隔有针状间隔开口。进行了紧急剖宫产术,随后进行了鼻中隔扩张术。结果:术后事件顺利。结论:为避免难产和对产妇及新生儿的伤害,建议对产程中出现阴道横隔的患者,特别是长期不孕的孕妇,行预防性剖腹产。
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