Document Detail

Expectant management of uterine dehiscence in the second trimester of pregnancy.
MedLine Citation:
PMID:  14607034     Owner:  NLM     Status:  MEDLINE    
BACKGROUND: Uterine dehiscence and rupture are serious complications of pregnancy after a cesarean delivery. Management of uterine dehiscence diagnosed in second trimester can be controversial. CASE: A woman with a previous cesarean delivery was diagnosed with a uterine dehiscence at 20 weeks in the area of her prior cesarean incision. Although she was counseled regarding risks to herself and the fetus, she decided to continue the pregnancy. She was, therefore, managed expectantly until 31 weeks and delivered by cesarean because of fetal heart rate decelerations. The infant did well and was discharged home at 3 weeks of age. The patient remained asymptomatic after delivery. CONCLUSION: With close monitoring, expectant management of uterine dehiscence diagnosed in the second trimester is possible.
Benjamin D Hamar; Deborah Levine; Naomi L Katz; Kee-Hak Lim
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Publication Detail:
Type:  Case Reports; Journal Article    
Journal Detail:
Title:  Obstetrics and gynecology     Volume:  102     ISSN:  0029-7844     ISO Abbreviation:  Obstet Gynecol     Publication Date:  2003 Nov 
Date Detail:
Created Date:  2003-11-10     Completed Date:  2003-12-23     Revised Date:  2009-10-26    
Medline Journal Info:
Nlm Unique ID:  0401101     Medline TA:  Obstet Gynecol     Country:  United States    
Other Details:
Languages:  eng     Pagination:  1139-42     Citation Subset:  AIM; IM    
Department of Obstetrics and Gynecology, Beth Israel Deaconess Medical Center, Boston, Massachusetts 02215, USA.
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MeSH Terms
Cesarean Section, Repeat / adverse effects*
Magnetic Resonance Imaging
Pregnancy Complications / diagnosis,  therapy*,  ultrasonography
Pregnancy Trimester, Second
Surgical Wound Dehiscence / diagnosis,  therapy*,  ultrasonography
Uterus / pathology,  ultrasonography

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine

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