Complete asymptomatic fundal rupture of the uterus in the first stage of labor

2020 ◽  
Vol 69 (2) ◽  
pp. 83-88
Author(s):  
Marina N. Mochalova ◽  
Lyubov A. Kuzmina ◽  
Anastasia Yu. Mironenko ◽  
Igor B. Likhanov ◽  
Viktor A. Mudrov
Keyword(s):  
Postpartum Period ◽  
Clinical Observation ◽  
Uterine Cavity ◽  
Satisfactory Condition ◽  
Pain Syndromes ◽  
Uterine Inertia ◽  
Uterine Scar ◽  
Uterine Fundus ◽  
First Stage Of Labor ◽  
Previous Cesarean

A clinical case of a complete fundal rupture of the uterus at the first stage of labor of a woman with a uterine scar from a previous cesarean section in the lower uterine segment is addressed in this article. During clinical observation, the patient did not have hemorrhagic and pain syndromes. Operative delivery was performed due to primary uterine inertia. A newborn did not show any signs of asphyxia. During the operation, a rounded defect of 4 5 cm in size, penetrating the uterine cavity, was detected in the uterine fundus. It was sutured with a triple-row suture. The area of the lower segment was thinned to 2 mm, with deformation and defects not detected. In the postpartum period, subinvolution of the uterus was noted. The patient was discharged from hospital in satisfactory condition on the 10th day of the postpartum period.

Cesarean scar defect: terminological aspects

GYNECOLOGY ◽  
2020 ◽  
Vol 22 (5) ◽  
pp. 70-75
Author(s):  
Sergey A. Martynov ◽  
Leyla V. Adamyan
Keyword(s):  
Caesarean Section ◽  
Postpartum Period ◽  
Russian Literature ◽  
Cesarean Scar ◽  
The Status ◽  
Uterine Scar

The review aim was to summarize information and to provide terminological analysis of the foreign and Russian literature on assessing the status of the uterine scar after a caesarean section, as well as to identify terms that are most appropriate to use out and during pregnancy, in childbirth and in the postpartum period.

The Effects of Water Immersion during First Stage of Labor on Postpartum Systemic Inflammatory Response

2021 ◽  
Author(s):  
Ayçağ Yorgancı ◽  
Gul Nihal Buyuk ◽  
Mesut Akyol ◽  
Özlem Gündüz ◽  
Banu Seven ◽  
...  
Keyword(s):  
Inflammatory Response ◽  
Postpartum Period ◽  
Neonatal Intensive Care ◽  
Water Immersion ◽  
Blood Parameters ◽  
Systemic Inflammatory Response ◽  
Lymphocyte Ratio ◽  
Early Postpartum ◽  
Multiparous Women ◽  
First Stage Of Labor

Abstract Objective The systemic inflammatory response is a cascade of physiologic reactions that arise in response to trauma, infection, burn, or any kind of injury. This study aimed to determine the effects of water immersion during the first stage of labor on the systemic inflammatory indices in the postpartum period. Materials and methods In this retrospective study, 125 healthy multiparous women with uncomplicated pregnancies between 37 and 41 weeks of gestation who elected for immersion in water during the first stage of labor were compared with multiparous uncomplicated term women who had conventional vaginal births on land (n=125). Age, parity, body mass index (BMI), gestational age, duration of labor, birth weight, Apgar scores, neonatal intensive care unit admissions, and ante- and postpartum whole blood parameters were noted. Antepartum and postpartum neutrophil-to-lymphocyte ratio (NLR), monocyte-to-lymphocyte ratio (MLR), platelet-to-lymphocyte ratio (PLR), and mean platelet volume (MPV) were calculated for all patients as systemic inflammatory indices. Results Demographic characteristics and birth outcomes of both groups were similar except BMI, which was statistically significantly higher in the water immersion group. There were no statistical differences in antepartum NLR, MLR, PLR, and MPV between the 2 groups. However, postpartum NLR, MLR, PLR, and MPV were statistically significantly lower in the water immersion group compared to the controls. Conclusion Water immersion during the first stage of labor might decrease systemic inflammatory indices in the early postpartum period.

Recurrent large uterine fundal dehiscence during cesarean section after hysteroscopic uterine septum resection with uterine perforation

2016 ◽  
Vol 5 (2) ◽  
pp. 85-87
Author(s):  
İbrahim Alanbay ◽  
Mustafa Öztürk ◽  
Mustafa Ulubay ◽  
Uğur Keskin ◽  
Emre Karaşahin
Keyword(s):  
Cesarean Section ◽  
Uterine Rupture ◽  
Late Complication ◽  
Uterine Wall ◽  
Elective Cesarean Section ◽  
Uterine Perforation ◽  
Elective Cesarean ◽  
Uterine Septum ◽  
Uterine Fundus ◽  
Previous Cesarean

Abstract Septum resection using hysterescopy is safe, rapid and efective, but some late complication of it may be seen as uterine rupture or dehiscence of uterine wall during pregnancy due to myometrial damage. We present a case of recurrent large uterine fundal dehiscence conscecutive to cesarean section in a patient who had previously undergone a uterine septum resection. The patient was a 35-year-old who presented at 39 weeks of gestation (Gravida 2, Parity 1) and was admitted for an elective cesarean section. Her reproductive history included a septum resection which resulted in uterine perforation, and one previous cesarean section in which a large fundal defect was found and repaired. Then the examination had shown an aproximately 5 cm large uterine fundus defect including all three layers of uterus which had been repaired. Perforation or excessively deep incision of uterine fundus during hysteroscopic metroplasty may cause chronic weakness of the uterine wall especially at fundal localization. Our case was an incidental uterine wall dehiscence during cesarean section. Patients with an uterine septum resection history should be followed up carefully for uterine rupture during pregnancy.

A Device for Diagnosis of Uterine Scar Integrity in the Early Postpartum Period

2020 ◽  
Vol 54 (3) ◽  
pp. 159-162
Author(s):  
M. N. Mochalova ◽  
V. A. Mudrov ◽  
A. Yu. Mironenko
Keyword(s):  
Postpartum Period ◽  
Early Postpartum Period ◽  
Early Postpartum ◽  
Uterine Scar

Length of uterine cavity after second phase of postpartum period in women requesting long-acting reversible contraception

2020 ◽  
pp. 1-2
Author(s):  
José Angel Espinosa ◽  
Marcos Javier Cuerva ◽  
Laura Nieto ◽  
Patricia Garcia-Casarrubios ◽  
María Ángeles Leal ◽  
...  
Keyword(s):  
Postpartum Period ◽  
Uterine Cavity ◽  
Second Phase ◽  
Long Acting

Evaluation of the uterine scar stiffness in women with previous Cesarean section by ultrasound elastography: A cohort study

2020 ◽  
Vol 64 ◽  
pp. 53-56 ◽  
Author(s):  
Elvira di Pasquo ◽  
Ariane Jeanne Odette Kiener ◽  
Andrea DallAsta ◽  
Arianna Commare ◽  
Laura Angeli ◽  
...  
Keyword(s):  
Cohort Study ◽  
Cesarean Section ◽  
Ultrasound Elastography ◽  
Previous Cesarean Section ◽  
Uterine Scar ◽  
Previous Cesarean

scholarly journals P09.08: Assessment of uterine scar from previous Cesarean section through grey scale histogram

2009 ◽  
Vol 34 (S1) ◽  
pp. 211-211
Author(s):  
.. Santos Filho ◽  
L. Nardozza ◽  
L. Camano ◽  
M. R. Torloni ◽  
M. Muccia ◽  
...  
Keyword(s):  
Cesarean Section ◽  
Previous Cesarean Section ◽  
Grey Scale ◽  
Uterine Scar ◽  
Previous Cesarean

scholarly journals Various Types of Niche Imaging by Sonohysterography: A Pictorial Review

2014 ◽  
Vol 8 (3) ◽  
pp. 311-315 ◽  
Author(s):  
Firoozeh Ahmadi ◽  
Farnaz Akhbari ◽  
Fatemeh Niknejad
Keyword(s):  
Cesarean Section ◽  
Transvaginal Ultrasound ◽  
Subsequent Pregnancy ◽  
Previous Cesarean Section ◽  
Cesarean Section Delivery ◽  
Cesarean Scar ◽  
Pictorial Review ◽  
Scar Region ◽  
Uterine Scar ◽  
Previous Cesarean

ABSTRACT Cesarean scar defects (CSD) or niche are the myometrial discontinuity at the previous cesarean section scar region. Recently cesarean section delivery has been raised around the world markedly; therefore women with cesarean scar defects are increased and present in up to 19% of women post cesarean section. The increase of repeat cesarean section has been associated with an increase in complications in subsequent pregnancies such as scar pregnancy with life threatening bleeding, uterus rupture, placenta accreta and its subtypes and prolonged postmenstrual Spotting. The deeper the niche (or the thinner the overlying myometrium), the higher the risk for complications in a subsequent pregnancy. Although the ability of transvaginal ultrasound (TVUS) to detect cesarean scars remains unknown, its higher frequency and proximity to the pelvic organs have been used as a powerful tool for detecting the uterine scar of a previous cesarean section. Recently with the increasing use of sonohysterography (SHG) (transvaginal ultrasound with saline infusion) detection of scar defect has been enhanced frequently. How to cite this article Ahmadi F, Akhbari F, Niknejad F. Various Types of Niche Imaging by Sonohysterography: A Pictorial Review. Donald School J Ultrasound Obstet Gynecol 2014;8(3):311-315.

scholarly journals Estimation of the efficiency of suturing the uterine cavity in patients under organ-preserving surgeries during placental insurance in the aspect of analysis of reproductive function in the postpartum period

2020 ◽  
Author(s):  
E. A. Berg ◽  
A. G. Yashchuk ◽  
I. I. Musin ◽  
Yu. N. Fatkullina
Keyword(s):  
Linear Method ◽  
Uterine Cavity ◽  
Reproductive Function ◽  
Control Group ◽  
Modified Method ◽  
Postoperative Changes ◽  
Ultrasound Assessment ◽  
Group 2 ◽  
Previous Cesarean ◽  
Group 1

Aim: to study the reproductive function of patients who underwent organ-preserving delivery using a modified method of suturing the uterine cavity with ingrowth of the placenta.Materials and methods. The studied groups were comparable. The ultrasound assessment of the size of the uterus when comparing subgroups A and B, showed a significantly less severity of postoperative changes in the uterine cavity and the shape of the uterus. Retrospectively analyzed 77 cases of planned delivery of patients in 2018–2020. Group 1 (control) – 32 patients with a scar on the uterus after a previous cesarean section and group 2 (main) – 45 patients with a diagnosis of placental ingrowth which was divided into 2 subgroups – 2A (n = 23) where a modified method of suturing the uterine cavity was used, and subgroup 2B (n = 22) where a linear method was used.Results. The studied groups were comparable. After 6 months, we check the changes in the size of the uterus was revealed in comparison with the control group, statistical differences were observed in the 2A subgroup compared to the control (p < 0,05 in width and length of the uterus) and in subgroup 2B (also p < 0.05 for all indicators). The study of intrauterine blood flow did not reveal significant differences between the compared groups (p > 0.1), and ultrasound assessment of the size of the uterus when comparing subgroups A and B, showed a significantly less severity of postoperative changes in the uterine cavity and the shape of the uterus.Conclusion. Evaluation of a new method of suturing the uterine cavity in patients with placental ingrowth has shown significant efficiency in maintaining the anatomically most natural shape of the uterus and uterine cavity. Despite the results obtained, the problem of restoring the reproductive function of women who underwent organ-preserving delivery remains relevant and requires further study.

scholarly journals The Risk of Expulsion is Higher in IUD-Endometrium Distance of More than 10 mm

2016 ◽  
Author(s):  
Teguh Senjaya
Keyword(s):  
Vaginal Delivery ◽  
Obstet Gynecol ◽  
Index Finger ◽  
Average Distance ◽  
Uterine Cavity ◽  
Gestation Age ◽  
Post Placental ◽  
Uterine Fundus

Objective: To acknowledge the rate of expulsion in post placental IUD CuT-380A insertion after vaginal delivery. Method: Postplacental IUD Cu T-380A insertion was performed at least 10 minutes after the placenta has been delivered by inserting IUD Cu T-380A in uterine cavity using index finger, and positioned the IUD in uterine cavity and pushed as high as possible directly to the uterine fundus. Then the IUD-endometrium distances were checked using transvaginal USG on the seventh and forty second day after IUD insertion. Result: From May and August 2012 has been done post placental IUD Cu T-380A set in 38 women, found that average of women age was ≥ 30 years old (34.21%), multi parities (63.16%), and gestation age for 37-42 weeks (100%). In this study found that three expulsion cases. Totally expulsion found in 2 cases, each found in days of 16 with averages distances of IUD and endometrium for 16.8 mm and in days of 19 with average distances of IUD-ED for 13.5 mm after IUD set. While partially expulsion found in 1 case, occurred in days of 11 after IUD set with average distance IUD-ED for 13.2 mm. Conclusion: IUD Cu T-380A set after vaginal delivery that observed for 42 days found that 3 (7.89%) peoples have expulsion. There is significant correlation the distance between IUD and ED in expulsion occurrences. [Indones J Obstet Gynecol 2013; 37-1: 26-31] Keywords: expulsion, post placental IUD Cu T-380A

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