Which of the following is NOT a potential complication associated with a bicornuate uterus?

Study for the ABOG Oral Boards Obstetrics Test. Study with flashcards and multiple choice questions, each question has hints and explanations. Get ready for your exam!

A bicornuate uterus is a congenital uterine anomaly resulting from incomplete fusion of the Müllerian ducts during fetal development. This malformation can lead to various complications in pregnancy due to the altered shape and capacity of the uterus.

When considering the complications associated with a bicornuate uterus, it is important to recognize how this condition can affect fetal growth and presentation. Abnormal fetal presentation, such as breech or transverse position, is common because the irregular shape of the uterine cavity can restrict the space available for the fetus to maneuver. Furthermore, inadequate fetal growth can occur due to the limited uterine volume, which might not provide sufficient space for optimal fetal development.

In terms of cervical incompetence, this condition may also arise in pregnant women with a bicornuate uterus due to the abnormal uterine shape exerting unusual forces on the cervix, potentially leading to premature dilation and insufficiency.

In contrast, normal labor progression is generally not associated with a bicornuate uterus. While labor can still proceed without complications in some cases, the inherent structural issues tend to increase the likelihood of abnormal labor dynamics. Thus, stating that normal labor progression is a complication associated with a bicornuate uterus is inaccurate, as labor can indeed be normal in some patients

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