NO DRUG THERAPY IN PRIMARY CARE (REFERRAL & ADVICE)
Congenital uterine and reproductive tract anomalies (such as bicornuate, septate, didelphic, or unicornuate uterus) substantially elevate the risk of recurrent early pregnancy loss, cervical insufficiency, preterm labor, fetal malpresentation, and intrauterine growth restriction. In primary care, obtain previous operative and ultrasound records, perform baseline renal ultrasonography to rule out concomitant congenital renal tract anomalies, and initiate serial ultrasound surveillance of cervical length from 16 weeks of gestation. Refer the patient early in pregnancy to a maternal-fetal medicine specialist or high-risk obstetric clinic for formal delivery planning. - Refer, with advice
Adult-only condition - paediatric section not applicable
No dose - referral pathway, no medicine given in primary care
Congenital uterine and reproductive tract anomalies (such as bicornuate, septate, didelphic, or unicornuate uterus) substantially elevate the risk of recurrent early pregnancy loss, cervical insufficiency, preterm labor, fetal malpresentation, and intrauterine growth restriction. In primary care, obtain previous operative and ultrasound records, perform baseline renal ultrasonography to rule out concomitant congenital renal tract anomalies, and initiate serial ultrasound surveillance of cervical length from 16 weeks of gestation. Refer the patient early in pregnancy to a maternal-fetal medicine specialist or high-risk obstetric clinic for formal delivery planning.
- A known uterine anomaly with signs of preterm labour or abnormal fetal position needs prompt obstetric review.
- No medicine is prescribed for this in primary care - this entry is for recognition and referral. Anything given is decided by the service it is referred to.