Document Detail


Uterine rupture in an unscarred uterus after application of fundal pressure. A case report.
MedLine Citation:
PMID:  12516327     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
BACKGROUND: Rupture of an unscarred uterus is rare, with a reported incidence of 1 in 8,000-15,000 pregnancies. We report a case occurring during labor. CASE: A 33-year-old woman, gravida 3, para 0, abortion 2, was admitted at 40 weeks' gestation with ruptured membranes. Fundal pressure was applied during delivery due to maternal exhaustion. Uterine rupture was diagnosed from palpation of the fetal extremities coupled with a decreased fetal heartbeat. A 6-cm transverse laceration was discovered over the lower uterine segment during emergency cesarean section. The uterus was sutured. There were no further complications, and the postoperative course was uneventful. CONCLUSION: Spontaneous rupture of the unscarred uterus during labor is rare, with only one case recorded at our institution over a 10-year period. Risk factors include weakness of the uterine muscle and the application of fundal pressure. Early detection and immediate surgical intervention are the mainstays of management.
Authors:
Hun-Shan Pan; Lee-Wen Huang; Jiann-Loung Hwang; Chun-Yi Lee; Yieh-Loong Tsai; Wei-Chi Cheng
Related Documents :
16519617 - The effect of betamethasone administration on uterine motility in pregnancy. a prospect...
11165577 - Interdelivery interval and risk of symptomatic uterine rupture.
22892137 - Pott's puffy tumour and intracranial complications of frontal sinusitis in pregnancy.
5212337 - Spontaneous rupture of splenic artery aneurysm in pregnancy. report of first known ante...
708657 - The plasma half-life of placental hormones.
9420527 - Male pesticide exposure and pregnancy outcome.
Publication Detail:
Type:  Case Reports; Journal Article    
Journal Detail:
Title:  The Journal of reproductive medicine     Volume:  47     ISSN:  0024-7758     ISO Abbreviation:  J Reprod Med     Publication Date:  2002 Dec 
Date Detail:
Created Date:  2003-01-08     Completed Date:  2003-04-01     Revised Date:  2004-11-17    
Medline Journal Info:
Nlm Unique ID:  0173343     Medline TA:  J Reprod Med     Country:  United States    
Other Details:
Languages:  eng     Pagination:  1044-6     Citation Subset:  IM    
Affiliation:
Department of Obstetrics and Gynecology, Shin Kong Wu Ho-Su Memorial Hospital, No. 95 Wen Chang Road, Shin Lin District, Taipei, Taiwan.
Export Citation:
APA/MLA Format     Download EndNote     Download BibTex
MeSH Terms
Descriptor/Qualifier:
Adult
Cesarean Section
Delivery, Obstetric / adverse effects*
Female
Humans
Muscle, Smooth / pathology
Pregnancy
Pregnancy Outcome
Pressure
Risk Factors
Uterine Rupture / etiology*,  pathology,  surgery*
Uterus* / pathology

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


Previous Document:  Cavernous lymphangioma of the vulva. A case report.
Next Document:  Diagnosis and management of abdominal pregnancy. A case report.