Uterine rupture is more likely, but not common, after previous caesarean section

BMJ ◽  
2004 ◽  
Vol 329 (7456) ◽  
Keyword(s):  
Caesarean Section ◽  
Uterine Rupture ◽  
Previous Caesarean Section

scholarly journals Determinants of uterine rupture in Dessie Referral Hospital, North East Ethiopia, 2016: case control design

2018 ◽  
Vol 7 (5) ◽  
pp. 1712 ◽  
Author(s):  
Amare Workie ◽  
Yemmiamrew Getachew ◽  
Kibir Temesgen ◽  
Prem Kumar
Keyword(s):  
Caesarean Section ◽  
Rural Areas ◽  
Uterine Rupture ◽  
Case Control ◽  
Previous Caesarean Section ◽  
Obstructed Labor ◽  
North East ◽  
Prolonged Labor ◽  
Dessie Referral Hospital

Background: Uterine rupture remains a major obstetric problem particularly in less developed countries. The aim of this study was to identify determinants of uterine rupture among mothers getting delivery services in Dessie Referral Hospital from January 2016 to June 2016, North East Ethiopia.Methods: A prospective unmatched case control study was conducted recruiting 42 mothers with uterine rupture as case group and 168 for control group. Pretested, structured questionnaire was used to collect data.Results: Descriptive statistics and Logistic regression models were utilized considering 95% confidence interval and p-value of 0.05 to determine the presence and strength of association between dependent and independent variables. Majority (94.2%) of cases came from rural areas, 76.2% had obstructed labor and 55% had prolonged labor. Of 85.7% of cases have reported number of pregnancies ≥ 5. Mothers who encountered obstructed labor and previous Caesarean section scar were at higher risk of uterine rupture (AOR=22.2, 95% CI=2.8-4.1 and AOR=13.6, 95% CI=2.16-17.84 respectively). Mothers living in urban area, having Antenatal Care follow-up, shorter labor stay and primi-parity were found to have lower risk of uterine rupture.Conclusions: This study revealed that living in rural areas, absence of Antenatal Care follow-up, prolonged labor, obstructed labor, grand multiparity and previous Caesarean section scar were determinants of uterine rupture. Viable strategies have to be designed and implemented to tackle these determinants of uterine rupture.

scholarly journals A CASE REPORT -UTERINE RUPTURE AFTER PREVIOUS CAESAREAN SECTION

2021 ◽  
pp. 184-186
Author(s):  
Dr.Amrita Kishor Jeswani ◽  
Dr.Suman Saurabh Gupta ◽  
Dr.Rohit Kishor Jeswani
Keyword(s):  
Caesarean Section ◽  
Uterine Rupture ◽  
Rare Complication ◽  
Signs And Symptoms ◽  
Gravid Uterus ◽  
Previous Caesarean Section ◽  
Risk Of Rupture ◽  
Life Threatening ◽  
Rupture Of Uterus ◽  
Present Case Study

Uterine rupture though a rare complication is life threatening for mother as well as baby. The commonest cause for rupture of a gravid uterus is previous caesarean section. It is important that the risk of rupture of uterus is explained to the pregnant female who has undergone previous caesarean section. The symptoms with which the patient presents can be subjective and vague like pain in abdomen or of acute abdomen. The patient can also come with objective findings like non-reassuring fetal status and loss of fetal station. With previous caesarean section it is important to be vigilant throughout the pregnancy especially in third trimester. It is also imperative that the patient should be educated about the signs and symptoms of rupture uterus so that timely intervention can be done to save the life of mother and the baby. In the present case study, the USG scan revealed that the placenta had shifted and was covering the internal os from fundo-posterior position along with the shift of baby from cephalic presentation to transverse lie. Hence these case was a suspicious of rupture uterus which causes change in lie as well as presentation of baby.

scholarly journals Non-haemorrhagic uterine rupture at 28 weeks of pregnancy following previous caesarean section: a case report

2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Alfred Lumala ◽  
Vicent Atwijukire
Keyword(s):  
Heart Rate ◽  
Abdominal Pain ◽  
Caesarean Section ◽  
Uterine Rupture ◽  
Fetal Heart Rate ◽  
Vaginal Bleeding ◽  
Vaginal Discharge ◽  
Fetal Heart ◽  
Lower Abdominal Pain ◽  
Previous Caesarean Section

Abstract Background There is need to put forward more symptoms and signs that could suggest a diagnosis of uterine rupture so that clinicians’ suspicion is increased; there is also need to put forward uncommon intraoperative findings in patients with uterine rupture to correlate with the signs and symptoms of patients. Case presentation A 33 year old Gravida 5 Para 4 + 0 with 2 previous caesarean section scars at 28 weeks of amenorrhoea, presented to hospital complaining of lower abdominal pain for 11 h. She had no vaginal bleeding or vaginal discharge or pain on passing urine. On examination she had no pallor, pulse rate was 84 bpm, blood pressure was 110/80 mm of mercury (mmHg), fundal height was 27 cm (cm), fetal heart rate was regular at 150 beats per minute (bpm) and her cervix had a parous os. She was diagnosed with preterm labour and given dexamethasone intramuscularly, then an obstetric ultrasound scan was done and it revealed severe oligohydramnios. Decision do deliver her by emergency caesarean section was made and intraoperative findings were of a uterine rupture along the uterine scar with a fetal arm protruding through and vernix caseosa in the peritoneal cavity, without active uterine bleeding. The patient recovered well postoperatively. Conclusions There is need to suspect uterine rupture in pregnant women with previous caesarean section scars if they present with abdominal pain and are found to have severe oligohydramnios despite having no history of any vaginal discharge, even when the fetal heart rate is normal and they are haemodynamically stable and without vaginal bleeding and remote from term.

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