FREQUENCY OF MULLERIAN DEFECTS WITH MALPRESENTATION IN THE OBSTETRICS & GYNECOLOGY DEPARTMENT, KHYBER TEACHING HOSPITAL, PESHAWAR

Abstract

Introduction: Congenital defects of Mullerian duct are
rare gynecological problems of women. They are
asymptomatic but usually recognized in reproductive
age. This study was conducted to determine the
frequency and different types of Mullerian defects
among women with Fetal Malpresentation in a public
tertiary care hospital of Peshawar, Khyber Pakhtunkhwa.
Materials & Methods: A descriptive cross-sectional
study was conducted in the Department of Obstetrics
and Gynecology, Khyber Teaching Hospital, Peshawar
from August 2012 to February 2013. A total of 205
pregnant women with Malpresentation selected through
consecutive sampling were studied for Mullerian duct
anomalies. All the collected data were analyzed in SPSS
version 11.0. The Chi Square test was used to compare
frequencies among groups, keeping p≤0.05 as significant .
Results: Mullerian anomalies were identified in 05/205
(2.44%) pregnant women with Malpresentation, most of
these (03/05, 60%) being at age 20-25years. Of the
different types of Mullerian anomalies, Unicornuate uteri
were 02/05 (40%), while Bicornuate, Septate, Arcuate
uteri were 01/05 (20%) each, with no Didelphys. In
terms of gravidity, Primigravida and Multigravida each
had 02/05 (40%) Mullerian anomalies, while Grand
Multipara had 01/05 (20%).
Conclusion: Fetal Malpresentation shows an increased
frequency of detecting Mullerian anomalies; a higher risk
may be found with increasing gravidity and parity.