scholarly journals Posterior Uterine Rupture Causing Fetal Expulsion into the Abdominal Cavity: A Rare Case of Neonatal Survival

2011 ◽  
Vol 2011 ◽  
pp. 1-3 ◽  
Author(s):  
K. Navaratnam ◽  
P. Ulaganathan ◽  
M. A. Akhtar ◽  
S. D. Sharma ◽  
M. G. Davies
Keyword(s):  
Caesarean Section ◽  
Uterine Rupture ◽  
Abdominal Cavity ◽  
Fetal Outcome ◽  
Emergency Caesarean Section ◽  
Vaginal Birth ◽  
Lower Segment ◽  
Healthy Baby ◽  
Case Presentation ◽  
Vaginal Birth After Caesarean

Introduction. Uterine rupture is a potentially catastrophic complication of vaginal birth after caesarean section. We describe the sixth case of posterior uterine rupture, with intact lower segment scar, and the first neonatal survival after expulsion into the abdominal cavity with posterior rupture.Case Presentation. A multiparous woman underwent prostaglandin induction of labour for postmaturity, after one previous caesarean section. Emergency caesarean section for bradycardia revealed a complete posterior uterine rupture, with fetal and placental expulsion. Upon delivery, the baby required inflation breaths only. The patient required a subtotal hysterectomy but returned home on day 5 postnatally with her healthy baby.Discussion. Vaginal birth after caesarean section constitutes a trial of labour, and the obstetrician must be reactive to labour events. Posterior uterine rupture is extremely rare and may occur without conventional signs. Good maternal and fetal outcome is possible with a prompt, coordinated team response.

scholarly journals Comparative study of maternal and fetal outcome in patients with Vaginal Birth after caesarean section and elective repeat caesarean section

2020 ◽  
Vol 11 (4) ◽  
pp. 5473-5480
Author(s):  
Poonam Kalburgi ◽  
Sanjaykumar Patil
Keyword(s):  
Caesarean Section ◽  
Prospective Observational Study ◽  
Institutional Delivery ◽  
Mode Of Delivery ◽  
Fetal Monitoring ◽  
Fetal Outcome ◽  
Vaginal Birth ◽  
Group 2 ◽  
Vaginal Birth After Caesarean ◽  
Group 1

Women after delivering her first baby by section have a choice about mode of delivery for her second baby. The study was planned to compare maternal and perinatal outcome between VBAC and repeat elective LSCS in patients with prior one LSCS and their complications. A prospective observational study was carried out in department of obstetrics and . Total 180 cases of previous LSCS who were eligible for vaginal delivery were recruited 90 in each group as per consent given by them. Group 1: Vaginal Birth after section Group 2: elective repeat section. It was observed that majority of the patients group 1(51.1%) and group 2 (47.8%) were in age group of 25 to 30 years. More than 25kg/m2 BMI was found in 18(20%) cases of VBAC group and 30(33.3%) cases of LSCS group pregnancy interval was significantly lower in LSCS group compared to VBAC group. Mean birth weight was 2.832 kg to 2.917kg in both group. with improved maternal care, close fetal monitoring and institutional delivery for a previous one section, VBAC is considered safer than repeat elective section in carefully selected patient.

scholarly journals Frequency of uterine rupture after one successful vaginal birth after cesarean section (VBAC).

2020 ◽  
Vol 27 (04) ◽  
pp. 807-811
Author(s):  
Shazia Siddiq ◽  
Saima Yasmin Qadir ◽  
Hajra Sultana ◽  
Asma Khurshid
Keyword(s):  
Caesarean Section ◽  
Cesarean Section ◽  
Gestational Age ◽  
Uterine Rupture ◽  
Cross Sectional Study ◽  
Vaginal Birth ◽  
Perinatal Complications ◽  
Cross Sectional ◽  
Section Data ◽  
Vaginal Birth After Caesarean

Objectives: To determine the frequency of uterine rupture after one successful vaginal birth after caesarean section. Study Design: Cross Sectional Study. Setting: Department of Obstetrics and Gynecology of Nishtar Hospital Multan. Period: From12-May-2017 to 11-May-2018. Material & Methods: Total number of 135 patients of 16-45 years with singleton pregnancies were admitted for 2nd Vagina Birth after cesarean Section at gestational age ≥ 28 weeks of gestation. Data in shape of parity, gestational age and BMI was taken. These patients were assessed for frequency of uterine rupture after one successful vaginal birth after caesarean section. Data was analyzed with statistical analysis program (SPSS version 21). Frequency and percentage was calculated for qualitative variables like parity and uterine rupture. Mean ± SD was calculated for quantitative variables like age, BMI and gestational age. Results: Mean age of patients was 29.88+5.34 years. Mean body mass index (BMI) of study patients was 25.17+4.88 kg/m2. Mean gestational age at the time of delivery was 39.01+2.54 weeks. Uterine rupture after vaginal birth occurred in 2 (1.48%) patients. There was no association of gestational age, parity and gestational age with the frequency of uterine rupture. Conclusion: Women with prior successful VBAC are at low risk of maternal and neonatal complications during subsequent trail of VBAC with lower risk of uterine rupture and perinatal complications.

scholarly journals Prediction of successful vaginal birth after caesarean section based on Flamm and Geiger scoring system a prospective observational study

2018 ◽  
Vol 7 (10) ◽  
pp. 3998
Author(s):  
Rajshree Sahu ◽  
Naimaa Chaudhary ◽  
Asha Sharma
Keyword(s):  
Caesarean Section ◽  
Observational Study ◽  
Vaginal Delivery ◽  
Scoring System ◽  
Prospective Observational Study ◽  
Emergency Caesarean Section ◽  
Vaginal Birth ◽  
New Delhi ◽  
Emergency Caesarean ◽  
Vaginal Birth After Caesarean

Background: The aim of this study was to evaluate the adequacy of Flamm and Geiger scoring system in prediction of successful vaginal birth after caesarean section.Methods: A prospective observational study was carried out on 75 pregnant women with previous one caesarean section in department of obstetrics and Gynecology, St Stephen’s hospital, New Delhi over a period of one year.Results: In the present study, out of 75 patients, 40% patients had successful VBAC and 60% patients had emergency LSCS. Among successful VBAC 70% patients had spontaneous vaginal delivery, while 23.3% patients had vacuum assisted and 6.7% had forceps assisted vaginal delivery. Most of the patients with total Flamm and Geiger score < 3 at the time of admission had emergency caesarean section while most of the patients with score >4 had successful VBAC. There were 53.3%, 75%, 85.7% and 100% probabilities of Successful VBAC with total score 4,5,6 and >8 respectively.  Mean score for successful VBAC was 5±1.66and for emergency caesarean was 2.97±0.83.Conclusions: As total Flamm and Geiger score increases, a chance of successful VBAC increases. Application of Flamm and Geiger scoring gives fare judgment of successful vaginal birth in TOLAC and reduces the rate of failed trial leading to emergency caesarean section, thus improving outcome in a trial of labor.

scholarly journals Safety of vaginal birth after single previous lower segment caesarean: a retrospective analysis of 200 cases

2018 ◽  
Vol 7 (7) ◽  
pp. 2596
Author(s):  
Renu Jain
Keyword(s):  
Caesarean Section ◽  
Retrospective Analysis ◽  
Caesarean Delivery ◽  
Admission Rate ◽  
Active Phase ◽  
Vaginal Birth ◽  
Lower Segment ◽  
Lower Segment Caesarean Section ◽  
Increased Risk ◽  
Vaginal Birth After Caesarean

Background: Vaginal birth after Caesarean delivery (VBAC) has long been proposed as a viable measure to reduce overall Caesarean delivery rates. The objective of present study was to assess predictive factors and to study outcome of pregnancy in women with one previous lower segment caesarean section underwent trial of scar, in author’s hospital setting.Methods: This retrospective analysis of 200 pregnant women with one previous lower segment caesarean section underwent trial of scar, was carried out over a period of one year, in department of Obstetrics and Gynaecology, Gajra Raja Medical College, Gwalior (M.P.). The maternal and neonatal data and data concerning the course of delivery were reviewed and subjected to statistical analysis.Results: The success rate of VBAC was 36%. Young maternal age, gestational age <40 weeks, neonate birth weight 2.5-3 kg, admission in active phase of labor, previous caesarean for malpresentation, meconium stained liquor and fetal distress, were associated with successful VBAC. The commonest indication of repeat caesarean section was non-progress of labor in 34.37% women. Admission rate to neonatal intensive care unit was less in VBAC (2.77%) than in repeat caesarean section group (7.03%). There was one case of uterine rupture. There were 3 perinatal deaths and no maternal deaths.Conclusions: Women with a prior caesarean section are at increased risk of subsequent caesarean. Vaginal birth after caesarean should be encouraged in selected cases to reduce the risks of repeated caesarean sections. However, in the event of a failed trial, there is a definite increase in neonatal and maternal morbidity which is also reflected in our study.

Sign in / Sign up

Export Citation Format

Share Document