Document Detail

Uterine rupture in an unscarred uterus after application of fundal pressure. A case report.
MedLine Citation:
PMID:  12516327     Owner:  NLM     Status:  MEDLINE    
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.
Hun-Shan Pan; Lee-Wen Huang; Jiann-Loung Hwang; Chun-Yi Lee; Yieh-Loong Tsai; Wei-Chi Cheng
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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    
Department of Obstetrics and Gynecology, Shin Kong Wu Ho-Su Memorial Hospital, No. 95 Wen Chang Road, Shin Lin District, Taipei, Taiwan.
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MeSH Terms
Cesarean Section
Delivery, Obstetric / adverse effects*
Muscle, Smooth / pathology
Pregnancy Outcome
Risk Factors
Uterine Rupture / etiology*,  pathology,  surgery*
Uterus* / pathology

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