Document Detail

Uterine rupture during pregnancy.
MedLine Citation:
PMID:  21995168     Owner:  NLM     Status:  In-Process    
BACKGROUND: Despite great advances in modern obstetrics, uterine rupture (UR) remains one of the most frightening complications with high morbidity and mortality.
OBJECTIVE: To improve the diagnosis and management of UR.
RESULTS: We report two cases of UR. Case 1 was spontaneous UR and case 2 was associated with a scar in the patient's uterus. Interestingly, the ruptured scar was not a scar from a previous cesarean section; it was a scar that was associated with placenta accreta. The fetal heart rates in both cases were below 80 beats per minute after UR. The newborn in case 1 died soon after delivery, while the newborn in case 2 survived. Both women were healthy and were discharged from hospital two to three weeks after surgery.
CONCLUSION: UR can occur in a previously unscarred uterus or from a scar of a cesarean section or scars caused by other pathologic lesions in the uterus. Severe fetal bradycardia might be a strong indicator for UR. Such study will help obstetricians provide more careful measures to manage UR, so that its morbidity and mortality can be decreased.
X Xia; L Fan; Y Xia; Y Fang
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  Clinical and experimental obstetrics & gynecology     Volume:  38     ISSN:  0390-6663     ISO Abbreviation:  Clin Exp Obstet Gynecol     Publication Date:  2011  
Date Detail:
Created Date:  2011-10-14     Completed Date:  -     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  7802110     Medline TA:  Clin Exp Obstet Gynecol     Country:  Italy    
Other Details:
Languages:  eng     Pagination:  286-7     Citation Subset:  IM    
Department of Obstetrics and Gynecology, Capital University of Medical Science & Beijing Obstetrics and Gynecology Hospital, Beijing, China.
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