A unicornuate uterus is usually capable of normal pregnancy. The so-called unicornuate uterus is a congenital developmental abnormality of the uterus, in which the bottom of the uterus has only one side of the uterine horns connected to the fallopian tubes on one side, and the other side is the blind end with no fallopian tubes. Due to the missing fallopian tube, the size of the uterus is smaller than normal, so the natural conception rate is reduced and the risk of miscarriage after pregnancy is increased. Women with a unicornuate uterus can first prepare for pregnancy by taking oral folic acid tablets three months prior to pregnancy, and should be monitored more closely during pregnancy; if they have been preparing for pregnancy for more than a year and have not gotten pregnant, they should go to a regular hospital for a pre-pregnancy checkup to rule out other infertility-related illnesses. In conclusion, the unicornuate uterus can be pregnant. It is recommended to do a comprehensive physical examination before preparing for pregnancy, under the guidance of the doctor to prepare for pregnancy, which can largely reduce the risk factors. During pregnancy, you should strengthen the monitoring, if there are uncomfortable such as abdominal pain, vaginal bleeding, fluid flow and other conditions timely to the hospital.