Document Detail

Uterine rupture in a patient with an unscarred uterus: a case study.
MedLine Citation:
PMID:  16628979     Owner:  NLM     Status:  MEDLINE    
Uterine rupture is a true obstetrical emergency. We present a case of a multigravid woman who had a spontaneous uterine rupture after induction with misoprostol and oxytocin, followed by a general discussion of uterine ruptures with a special emphasis on an unscarred uterus. Risk factors for uterine rupture in an unscarred uterus include grand multiparity, induction with misoprostol or oxytocin, malpresentation, or previous surgical abortion. Most cases present with maternal tachycardia, signs of fetal distress, and bleeding. The treatment for intrapartum uterine rupture includes fluid resuscitation and emergency laporotomy. Postpartum counseling regarding the risk of rerupture with subsequent pregnancies is an important piece of the management of these patients.
Michael E Mazzone; Jonathan Woolever
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Publication Detail:
Type:  Case Reports; Journal Article    
Journal Detail:
Title:  WMJ : official publication of the State Medical Society of Wisconsin     Volume:  105     ISSN:  1098-1861     ISO Abbreviation:  WMJ     Publication Date:  2006 Mar 
Date Detail:
Created Date:  2006-04-24     Completed Date:  2006-06-05     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  9716054     Medline TA:  WMJ     Country:  United States    
Other Details:
Languages:  eng     Pagination:  64-6     Citation Subset:  IM    
Department of Family and Community Medicine, Medical College of Wisconsin, USA.
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MeSH Terms
Cesarean Section
Labor, Induced
Misoprostol / adverse effects*
Oxytocics / adverse effects*
Oxytocin / adverse effects*
Pregnancy Outcome
Risk Factors
Uterine Rupture / chemically induced*,  surgery*
Reg. No./Substance:
0/Oxytocics; 50-56-6/Oxytocin; 59122-46-2/Misoprostol

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

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