Clinical characteristics of uterine rupture without previous Cesarean section: A 25‐year retrospective study

Author(s):  
Peng Zhao ◽  
Chang Su ◽  
Caifeng Wang ◽  
Junbi Xu ◽  
Xiaoxia Bai
Author(s):  
Poornima M.

Background: Previous Cesarean section (CS) is one of the important causes of CS in subsequent pregnancies. Moreover, repeated cesarean sections increase maternal as well as perinatal morbidity and mortality. We conducted this study to find out outcome of pregnancies in women who had a history of previous CS.Methods: This was a retrospective study of patients of previous caesarean section for either maternal or fetal indications. The duration of study was 3 years. Total 215 patients were included in this study on the basis of a predefined inclusion and exclusion criteria. The indications, maternal and neonatal outcome were studied from medical records of the patients. Statistical analysis was done using SSPE 22.0 software.Results: Out of 215 studied cases majority of the patients belonged to age group of 21-30 years (75.35%) and were 2nd gravida (61.86%). 164 (76.28%) patients attended ANC OPD at least for 3 times during pregnancy. 73 (33.95%) patients had Hb of less than 10 gms while blood transfusion was required to be given in 11 (5.12%) patients. cesarean section was required in 172 (80%) patients out of which 166 (77.21%) patients had undergone emergency LSCS while in 6 (2.79%) patients elective LSCS was done. Scar tenderness was the most common indication for repeat cesarean section. There was no maternal mortality in any patients while there was 1 still birth and 1 neonatal death.Conclusions: Previous cesarean section is one of the important causes of CS in subsequent pregnancies hence decision of doing CS, especially primigravida, must be taken in accordance with strict guidelines and the practice of “cesarean section on demand” should be discouraged.


2019 ◽  
Vol 9 (1) ◽  
Author(s):  
Jann Lennard Scharf ◽  
Georgios Gitas ◽  
David Hartge ◽  
Achim Rody ◽  
Christos Kotanidis

AbstractBackgroundUterine sacculation with a resulting uterine rupture is a rare complication in pregnant patients. Fibroids or a previous cesarean section increase the risk of severe complications such as a uterine rupture due to increased pressure and the elongation of the affected uterine segment. Prenatal clinical diagnosis and medical imaging of a uterine sacculation and rupture of the uterus remain challenging, even with the most modern imaging techniques. An early diagnosis is essential to reduce severe complications.Case presentationHere, we report the case of a 38-year-old female patient II G I P in the 19th week of pregnancy with a ruptured uterine sacculation.ConclusionThis case report is intended to raise awareness for the importance of the knowledge and supervision of a retroverted uterus in early pregnancy, especially after a cesarean section.


2011 ◽  
Vol 31 (3) ◽  
pp. 183-184
Author(s):  
I. Al-Zirqi ◽  
B. Stray-Pedersen ◽  
L. Forsén ◽  
S. Vangen

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