I am a completely retroverted uterus, had a cesarean section at full term, and there is a suspicion of anterior fontanelle closure.

Patient's question:

I have a completely retroverted uterus and had a full-term cesarean section. There was a suspicion of intrauterine infection, which was later diagnosed as cerebral palsy. How should it be treated?

Doctor's answer:

Management during Pregnancy and Delivery (1) Pregnancy Management
Uterine septum pregnancy is associated with a high rate of spontaneous abortion and preterm delivery. Close monitoring is required, with strict observation for cervical insufficiency. If painless cervical flattening or dilation occurs, cervical cerclage should be performed. During pregnancy, the site of placental attachment should be examined to detect placenta previa early.
(2) Delivery Management
Uterine septum can be delivered vaginally. If secondary uterine inertia or prolonged second stage of labor occurs, a vaginal examination should be conducted to check for vaginal septum. If the septum extends to the external cervical os, obstructing labor progression, delivery should proceed accordingly. The mode of delivery should be determined based on the mother's age, parity, pelvic condition, and fetal size. However, for elderly primiparas, adverse pregnancy history, or malpresentation, cesarean delivery indications may be appropriately.
After laparotomy, if a longitudinal depression is observed in the uterine body, it is preferable to perform a lower segment longitudinal incision, which can allow for the resection of the septum. Based on the above conditions, it should not result in sterilization. Proper reproductive system care should be maintained, and anticipation of the baby's arrival should be encouraged.