Patients with uterine malformations can conceive normally, but it is necessary to strengthen prenatal monitoring. Uterine malformations mainly include types such as unicornuate uterus, bicornuate uterus, mediastinal uterus, and bicornuate uterus. Different malformations have varying degrees of impact on pregnancy. Mild uterine malformations, such as incomplete mediastinal uterus or bicornuate uterus, can be resolved smoothly by most pregnant women. This type of malformation may slightly increase the probability of abnormal fetal position, but monitoring fetal development position through regular ultrasound examinations, combined with appropriate rest, usually does not affect the choice of delivery method. During mid pregnancy, special attention should be paid to cervical function assessment, and if necessary, preventive cerclage surgery should be performed. Nutrient intake should ensure high-quality protein and iron supplementation to prevent anemia. Severe uterine malformations such as unicornuate uterus or complete mediastinal uterus may significantly increase the risk of miscarriage and premature birth. This type of situation requires more frequent prenatal check ups, and it is recommended to conduct a fetal growth assessment every two weeks. In late pregnancy, a delivery plan should be formulated in advance, and most cases require cesarean section to terminate the pregnancy. Some patients may experience underdeveloped uterine muscle layer, and should be alert to signs of uterine rupture. If persistent abdominal pain or vaginal bleeding occurs, seek medical attention immediately. Pregnant women with uterine malformations should establish exclusive prenatal examination records and choose hospitals with experience in high-risk pregnancy management to file them. Avoid strenuous exercise and heavy physical labor during pregnancy, and it is recommended to use a left lateral position during sleep to improve uterine blood supply. Increase the intake of dark vegetables and whole grains in diet, and supplement folic acid until delivery. Maintaining an optimistic attitude, most pregnant women with uterine malformations can achieve good pregnancy outcomes under standardized management.



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