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    Review of 'Twin pregnancy in each half of a didelphys uterus with delayed delivery and review of literature'

    Twin pregnancy in each half of a didelphys uterus with delayed delivery and review of literatureCrossref
    Useful to know the possible clinical outcome
    Average rating:
        Rated 3 of 5.
    Level of importance:
        Rated 3 of 5.
    Level of validity:
        Rated 3 of 5.
    Level of completeness:
        Rated 3 of 5.
    Level of comprehensibility:
        Rated 2 of 5.
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    Twin pregnancy in each half of a didelphys uterus with delayed delivery and review of literature

    Abstract Didelphys uterus results from an incomplete fusion of mullerian ducts and corresponds to the class III of mullerian abnormalities of the American Fertility Society. We describe the case of a spontaneous twin pregnancy developed in each cavity of a didelphys uterus. At 29 weeks of gestation and 6 days, the patient had preterm rupture of membranes in the right horn. She went into spontaneous labor and delivered vaginally the first “right” twin. Delivery was complicated with post-partum hemorrhage on uterine atonia treated with a Bakri balloon. She was tocolyzed to pursue the fetal lung maturity of the second twin. She had a rupture of the second membranes at 30 weeks and 3 days and had a preterm vaginal delivery at 32 weeks and 1 day of the second twin. Twin pregnancy in both horns of a uterus is extremely rare, about 1 in 1,000,000. Pregnancies on congenital abnormalities of the paramesonephric duct present frequently poor obstetrical outcomes and many complications. There are no guidelines about the follow-up of these high-risk patients or the mode of delivery.

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      This work has been published open access under Creative Commons Attribution License CC BY 4.0, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited. Conditions, terms of use and publishing policy can be found at www.scienceopen.com.

      mullerian ducts,uterine malformation,twin pregnancy,didelphys uterus,delayed delivery,female genital tract anomalies

      Review text

      Regarding importance, the manuscript does not provide useful insights in the management of the condition, but considering the condition's rarity, it is useful to know the possible clinical outcome. In the previous sense, the article is well argued. Regarding completeness, the authors reference the appropriate scholarly context and the authors provide or cite enough information to follow their findings or argumentation. The figures are well displayed and properly described. On the other hand, the language needs corrections by a native English speaker. Please correct the English sentence construction. After the authors provide corrections with the help of a native English speaker, the paper will certainly be more fluent, well-structured and comprehensible.


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