Document Detail

Oxytocin-associated rupture of an unscarred uterus in a primigravida.
MedLine Citation:
PMID:  17018478     Owner:  NLM     Status:  MEDLINE    
BACKGROUND: Intrapartum rupture of the unscarred uterus is an uncommon event, usually associated with such risk factors as grand multiparity, malpresentation, history of gestational trophoblastic disease, or instrumented delivery. Rupture during first pregnancy is extremely rare. CASE: A 30-year-old primigravid woman was admitted for labor augmentation with oxytocin at 40.5 weeks of gestation. The oxytocin infusion rate was increased during the first and second stages of labor despite contractions occurring at a rate of 4-5 per 10 minutes. The uterus ruptured during second stage. Despite emergency cesarean delivery, the baby had evidence of severe asphyxia. CONCLUSION: This case of uterine rupture in a primigravida with no prior uterine surgery and a structurally normal uterus underscores the importance of careful contraction monitoring and judicious control of oxytocin infusion rates.
Val Catanzarite; Larry Cousins; David Dowling; Sean Daneshmand
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Publication Detail:
Type:  Case Reports; Journal Article    
Journal Detail:
Title:  Obstetrics and gynecology     Volume:  108     ISSN:  0029-7844     ISO Abbreviation:  Obstet Gynecol     Publication Date:  2006 Sep 
Date Detail:
Created Date:  2006-10-04     Completed Date:  2006-10-24     Revised Date:  2009-10-26    
Medline Journal Info:
Nlm Unique ID:  0401101     Medline TA:  Obstet Gynecol     Country:  United States    
Other Details:
Languages:  eng     Pagination:  723-5     Citation Subset:  AIM; IM    
Maternal Fetal Medicine, San Diego Perinatal Center and Sharp Mary Birch Hospital for Women, San Diego, CA 92123, USA.
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MeSH Terms
Asphyxia Neonatorum / etiology
Cerebral Palsy / etiology
Cesarean Section
Emergency Treatment
Infant, Newborn
Labor Stage, Second
Oxytocin / administration & dosage,  adverse effects*
Uterine Contraction
Uterine Rupture / chemically induced*
Reg. No./Substance:

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