# Didelphys uterus: a successful induction of labor in a case of intrauterine fetal death near term

## TL;DR

A woman with a didelphys uterus and diabetes successfully induced labor after fetal death near term using Mifepristone and Dinoprostone.

## Contribution

Demonstrates the safe use of Mifepristone and Dinoprostone for labor induction in a didelphys uterus with fetal demise.

## Key findings

- Mifepristone and Dinoprostone combination successfully induced labor in a didelphys uterus.
- Vaginal delivery was uneventful despite Müllerian anomaly and diabetes.
- Pre-gestational evaluation is recommended for women with chronic diseases.

## Abstract

Müllerian anomalies are associated with infertility and worse pregnancy outcomes.

A 34-years-old primigravida patient affected by didelphys uterus and type 2 diabetes mellitus was admitted at 36.4 weeks with intrauterine fetal death. Labor was induced with oral Mifepristone and vaginal Dinoprostone. She had an uneventful vaginal delivery.

Pre-gestational evaluation should be recommended in each woman, in order to optimize clinical conditions in case of a chronic disease; moreover, if the patient is infertile Müllerian malformations should be excluded. In a didelphys uterus, the combination of Mifepristone and Dinoprostone could be a safe option for labor induction.