SUCCESSFUL PREGNANCY OUTCOME FOLLOWING TOMPKINS-METROPLASTY DONE EARLY IN PREGNANCY

A hysterosalpingogram revealed a septate uterus in a 29 year old nulli parous woman with a history of recurrent pregnancy loss, The patient u nderwent Tompkins metroplasty in the proliferative phase of the menstr ual cycle, One month after the operation she presented with a delay in her menses and a positive pregnancy test. Ultrasound revealed a viabl e fetus commensurate with 10 weeks gestation, making the gestation per iod 5 weeks at the time of surgery. After reviewing the patient's mens trual history it was found that the period the patient had before surg ery was on time but with unusually minimal bleeding. A repeat ultrasou nd scan for anomaly done 7 weeks later was commensurate with 17 weeks gestation. The patient carried her pregnancy for the first time until similar to 37 weeks when she delivered by Caesarean section a healthy female baby weighing 3700 g.