A case of perinatal death after insertion of an intrauterine pressure catheter

Fetomaternal hemorrhage (FMH) can be associated with significant perinatal mortality. Our review of the literature did not identify any cases of FMH following placement of an intrauterine pressure catheter (IUPC). In our case, an IUPC was inserted in a patient undergoing induction of labor at term. Fetal bradycardia ensued shortly after placement, warranting an emergent cesarean delivery. Severe neonatal anemia was identified, and evaluation of maternal blood was consistent with massive FMH. This is the first reported association between FMH and IUPC placement. If this relationship is validated in future reports, appropriate changes in clinical practice may be warranted.

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Intrauterine Pressure Catheter Insertion

Pfenninger and Fowler's Procedures for Primary Care ◽

10.1016/b978-0-323-05267-2.00171-0 ◽

2011 ◽

pp. 1155-1157 ◽

Cited By ~ 1

Author(s):

Beth A. Choby

Keyword(s):

Catheter Insertion ◽

Intrauterine Pressure ◽

Pressure Catheter

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Intrauterine Pressure Catheter Use Is Associated with an Increased Risk of Postcesarean Surgical Site Infections

American Journal of Perinatology ◽

10.1055/s-0039-1700861 ◽

2019 ◽

Vol 37 (06) ◽

pp. 557-561 ◽

Cited By ~ 3

Author(s):

Stephen E. Gee ◽

Marwan Ma'ayeh ◽

Calvin Ward ◽

Catalin Buhimschi ◽

Mark Klebanoff ◽

...

Keyword(s):

Odds Ratio ◽

Adjusted Odds Ratio ◽

Secondary Analysis ◽

Surgical Site Infections ◽

Vaginal Birth After Cesarean ◽

Maternal Fetal Medicine ◽

Intrauterine Pressure ◽

Increased Risk ◽

Potential Area ◽

Pressure Catheter

Abstract Objective This study aimed to determine if intrapartum placement of an intrauterine pressure catheter (IUPC) is associated with an increased rate of surgical site infections in women undergoing a cesarean delivery. Study Design This was a secondary analysis of the prospective observational Maternal–Fetal Medicine Units Network Vaginal Birth after Cesarean Registry. We compared patients with and without IUPC use. A multivariable logistic regression was performed to evaluate for an association between IUPC use and postcesarean surgical site infections. Results The study included 16,887 women: 7,441 with IUPC use and 9,446 without IUPC use. After adjustment for potential cofounders, IUPC use was associated with an increased risk of postcesarean infections compared with those without IUPC use (adjusted odds ratio: 1.28; 95% confidence interval: 1.10–1.50; p = 0.002). Conclusion IUPC use is associated with an increased risk of postcesarean surgical site infections. This supports the judicious use of IUPC for limited clinical indications and provides a potential area of focus for reduction in postcesarean infections.

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152: Uterine electromyography is comparable to intrauterine pressure catheter for monitoring contractions

American Journal of Obstetrics and Gynecology ◽

10.1016/j.ajog.2008.09.179 ◽

2008 ◽

Vol 199 (6) ◽

pp. S55

Author(s):

Sangeeta Jain ◽

Rainer Fink ◽

Daniel H. Freeman ◽

George Saade ◽

Robert E. Garfield

Keyword(s):

Intrauterine Pressure ◽

Uterine Electromyography ◽

Pressure Catheter

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Complications Associated with Insertion of Intrauterine Pressure Catheters: An Unusual Case of Uterine Hypertonicity and Uterine Perforation Resulting in Fetal Distress after Insertion of an Intrauterine Pressure Catheter

Case Reports in Obstetrics and Gynecology ◽

10.1155/2012/517461 ◽

2012 ◽

Vol 2012 ◽

pp. 1-3 ◽

Cited By ~ 3

Author(s):

Kara M. Rood

Keyword(s):

Cesarean Section ◽

Unusual Case ◽

Neonatal Morbidity ◽

Fetal Distress ◽

Adverse Outcomes ◽

Uterine Perforation ◽

Routine Procedure ◽

Intrauterine Pressure ◽

Emergent Cesarean Section ◽

Pressure Catheter

Insertion of intrauterine pressure catheters is a routine procedure performed in labor and delivery departments, with few associated complications. There are several reports of maternal and neonatal morbidity associated with the use of intrauterine pressure catheters and their rare adverse outcomes. We report an unusual case of uterine hypertonicity resulting in fetal distress, immediately after the placement of an intrauterine pressure catheter. An emergent Cesarean section was performed for fetal distress and revealed a 5 cm vertical rent in the posterior lower uterine segment. The uterine perforation was repaired intraoperatively. Mother and infant did well and were discharged home on postoperative day four.

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