T-shaped uterus a lateral incision of the uterine walls, and can return the organ to a normal morphology, while improving the patient's former reproductive performance. It is considered a low-risk procedure, and can also improve term delivery rate by up to 10-fold, as long as the endometrium is considered to be in good condition. However, risks after the procedure include placenta accreta, Asherman's syndrome and severe haemorrhage. T-shaped uterus A t-shaped uterus is a type of uterine malformation wherein the uterus is shaped resembling the letter T. This is typically observed in DES-exposed women. It is recognised in the ESHRE/ESGE classification, and
Nuchal cord an improvement in outcomes where cord entanglement was prenatally identified in these cases. Ultrasound measurement of the velocity of flow in the cord may be useful in the management of twins and chronically growth-retarded fetuses. Of course this depends on the training of the sonographer. To date there are no ultrasound courses which teach the identification of nuchal cord to physicians or technicians. A recent review by Wilson of the American Academy of Ultrasonography Technicians recommends the documentation of umbilical cord issues. Management of a presenting nuchal cord should be tailored to prevent umbilical cord compression whenever possible. Techniques to