Hanh Phuc International Hospital recently performed a highly complex cesarean section for a woman with a history of prior C-section, delivering twins in the presence of rare obstetric abnormalities: uterus didelphys (double uterus) and complete placenta previa. The surgical procedure, which also involved a partial hysterectomy, was completed in just one hour. This was one of the high-risk surgeries due to the potential for heavy bleeding and postpartum hemorrhage, requiring exceptional surgical expertise and close multidisciplinary collaboration. The patient had previously consulted multiple healthcare facilities both in Vietnam and abroad, but had not found an appropriate treatment plan.

Uterus didelphys combined with complete placenta previa: A high-risk obstetric scenario

Uterus didelphys is a rare congenital anomaly where a woman has two separate uterine cavities and two cervices, resulting from incomplete fusion of the Müllerian ducts during fetal development. This condition can lead to complications such as recurrent miscarriage, preterm birth, and significant difficulties during twin pregnancies. The risks of hemorrhage and other complications are greatly increased.

Complete placenta previa occurs when the placenta entirely covers the cervix — the baby’s exit route during normal delivery. This is a serious obstetric complication with a high risk of severe bleeding, potentially endangering both mother and baby. When combined with uterus didelphys and a twin pregnancy, the likelihood of postpartum hemorrhage rises dramatically.

Comprehensive surgical planning and care

Prior to surgery, the patient received ongoing prenatal care and fetal monitoring at Hanh Phuc International Hospital to ensure the pregnancy reached a safe gestational age. A thorough evaluation and detailed surgical preparation were conducted, including the availability of blood products, specialized equipment, and a fully staffed surgical team. Contingency plans for managing massive bleeding were also in place, with a senior general surgeon on standby to support the procedure as needed.

The surgery lasted one hour and was carried out by a team of experienced obstetricians, anesthesiologists, and nurses working in close coordination. During the C-section, both babies were safely delivered. The mother and her newborn twins remained healthy and stable post-delivery. Following surgery, the woman retained one uterus and one cervix, and made a smooth recovery, being discharged from the hospital just five days later. The successful outcome of this surgery is a testament to the hospital’s high level of clinical expertise and its ability to manage complex obstetric cases with excellence.

Committed to the health of mothers and babies

Hanh Phuc International Hospital continues to assert its leadership in maternal and neonatal care, backed by a team of experienced doctors and state-of-the-art facilities. The success of this surgery highlights the hospital’s advanced medical capabilities and unwavering commitment to delivering safe, effective care for high-risk pregnancies — supporting mothers through safe deliveries, no matter the challenge.

Medical advisor: Dr. Hoang Ngoc Hai – OB/GYN specialist and Deputy Head of Obstetrics and Gynecology at Hanh Phuc International Hospital

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