# Maternal congenital anomaly complicating pregnancy

- Category: chronic
- Review status: reviewed (every claim checked against a document named on this page)
- Sources: Embryology, Mullerian Ducts (Paramesonephric Ducts) - StatPearls - NCBI Bookshelf - https://www.ncbi.nlm.nih.gov/books/NBK557727/ · ICPC-3 (WONCA International Classification of Primary Care, 3rd edition) class WD55 - condition scope only, no dose · No dose - referral pathway, no medicine given in primary care
- Verified date: 2026-08

## Verified against

- No dose - referral pathway, no medicine given in primary care

## Treatment metadata

- No drug therapy in primary care (Referral & Advice)

## Complete treatment card

```text
MATERNAL CONGENITAL ANOMALY COMPLICATING PREGNANCY
Sources: Embryology, Mullerian Ducts (Paramesonephric Ducts) - StatPearls - NCBI Bookshelf -
         https://www.ncbi.nlm.nih.gov/books/NBK557727/ · ICPC-3 (WONCA International Classification
         of Primary Care, 3rd edition) class WD55 - condition scope only, no dose · No dose -
         referral pathway, no medicine given in primary care
Review status: REVIEWED against the source listed above  (2026-08)

1. NO DRUG THERAPY IN PRIMARY CARE (REFERRAL & ADVICE)    [1st line]
   Adult    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
   Peds     Adult-only condition - paediatric section not applicable
   Source   No dose - referral pathway, no medicine given in primary care
   Why      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.
   Caution  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.

Prices are indicative (dataset snapshot 2026-06); verify with the pharmacy.
```

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