Document Detail

Third-trimester uterine rupture without previous cesarean: a case series and review of the literature.
MedLine Citation:
PMID:  19452430     Owner:  NLM     Status:  MEDLINE    
We sought to describe a case series and literature review of uterine rupture in the absence of a previous cesarean delivery. In addition to four cases in our institution, a search of the literature from 1994 to 2008 identified cases of uterine rupture unrelated to a prior cesarean. Uterine rupture in the absence of a previous cesarean may be associated with remote unrecognized uterine perforation, myomectomy, thermal injury, and obstructed labor. Such ruptures may occur before or after labor onset, at term or preterm, and with or without nonreassuring fetal heart rate patterns. Spontaneous uterine rupture is associated with highly variable and nonspecific maternal complaints and fetal status, requiring a high index of diagnostic suspicion.
Margaret Dow; Joseph R Wax; Michael G Pinette; Jacquelyn Blackstone; Angelina Cartin
Publication Detail:
Type:  Case Reports; Journal Article; Review     Date:  2009-05-18
Journal Detail:
Title:  American journal of perinatology     Volume:  26     ISSN:  1098-8785     ISO Abbreviation:  Am J Perinatol     Publication Date:  2009 Nov 
Date Detail:
Created Date:  2009-10-20     Completed Date:  2010-01-15     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  8405212     Medline TA:  Am J Perinatol     Country:  United States    
Other Details:
Languages:  eng     Pagination:  739-44     Citation Subset:  IM    
Copyright Information:
(c) Thieme Medical Publishers.
Division of Maternal Fetal Medicine, Department of Obstetrics and Gynecology, Maine Medical Center, Portland, Maine, USA.
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MeSH Terms
Cesarean Section
Gestational Age
Obstetric Labor Complications / epidemiology*,  prevention & control
Pregnancy Outcome / epidemiology*
Pregnancy Trimester, Third*
Risk Assessment
Risk Factors
Uterine Rupture / epidemiology*,  prevention & control

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