Uterine rupture in pregnancy - case study


Authors: J. Záhumenský 1;  H. Brtnická 1;  T. Brtnický 2;  O. Šottner 1;  B. Zmrhalová 1;  M. Halaška 1
Authors‘ workplace: Gynekologicko-porodnická klinika 1. LF UK a FN Na Bulovce, Praha, přednosta prof. MUDr. M. Halaška, DrSc. 1;  Gynekologicko-porodnická klinika 2. LF UK a FN Motol, Praha, přednosta prof. MUDr. L. Rob, CSc. 2
Published in: Čes. Gynek.2010, 75, č. 4 s. 309-311
Category: Case Report

Overview

Objective:
Analysis of two cases uterine rupture following caesarian section.

Subject:
Two case studies.

Setting:
Gynecological obstetrics clinic, First Medical Faculty and Faculty Hospital Bulovka, Prague.

Subject and methods:
The authors in their article describe two cases of rupture of the uterus in pregnancy prior to delivery. In both cases there was a history of cervicocorporal caesarian section.

Conclusion:
In the first case the patient was admitted from her home with bleeding, and signed a nonconsent form. The second case concerned a hospitalized patient, in which the first signs of uterine rupture were indicated by fetal heart rate. Both women underwent hysterectomy, paradoxically, in the first case the child was saved and discharged home in good health.

Key words:
uterine rupture, state following cesarian section.


Sources

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2. Bethune, M., Permezel, M. The relationship between gestational age and the incidence of classical caesarean section. Aust N Z J Obstet Gynaecol 1997, 37, p. 153-155.

3. Bujold, E., Gauthier, RJ. Risk of uterine rupture associated with an interdelivery interval between 18 and 24 months. Obstet Gynecol 2010, 115, p. 1003-1006.

4. Dane, B., Dane, C. Maternal death after uterine rupture in an unscarred uterus: a case report. J Emerg Med 2009, 37, p. 393‑395.

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11. Murphy, DJ. Uterine rupture. Curr Opin Obstet Gynecol 2006, 18, p. 135-140.

12. Ofir, K., Sheiner, E., Levy, A.m et al. Uterine rupture: risk factors and pregnancy outcome. Am J Obstet Gynecol 2003, 189, p. 1042-1046.

13. Pechtor, K., Richards, B., Paterson, H. Antenatal catastrophic uterine rupture at 32 weeks of gestation after previous B-Lynch suture. BJOG 2010.

14. Satiroglu, MH., Gozukucuk, M., Cetinkaya, SE., et al. Uterine rupture at the 29th week of subsequent pregnancy after hysteroscopic resection of uterine septum. Fertil Steril 2009, 91, p. 934-936.

15. Yap, OW., Kim, ES., Laros, RK., Jr. Maternal and neonatal outcomes after uterine rupture in labor. Am J Obstet Gynecol 2001, 184, p. 1576-1581.

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Labels
Paediatric gynaecology Gynaecology and obstetrics Reproduction medicine
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