scholarly journals Partial Uterine rupture in a primigravid patient, an uncommon obstetrical event: A Case Report.

2021 ◽  
Vol 28 (04) ◽  
pp. 610-613
Author(s):  
Kouser Karim Ladhani
Keyword(s):  
Case Report ◽  
Uterine Rupture ◽  
Maternal Morbidity ◽  
Rare Event ◽  
Case Presentation ◽  
Unusual Event ◽  
Emergency Cesarean ◽  
Maternal Morbidity And Mortality ◽  
Mortality Case ◽  
Primigravid Woman

Rupture of the unscarred uterus in a primigravid patient is a very unusual event associated with high perinatal and maternal morbidity and mortality. Case Presentation: A 24-year-old primigravid woman, presented at term gestation with mild labor pains. During labor course there was pathological cardiotocography. An emergency cesarean was performed and a partial uterine rupture was found. Conclusion: Though a rare event but even in a primigravid patient. Rupture of the uterus should be considered in pregnant women with hemoperitoneum, even when caesarean section is absent from the obstetric history.

scholarly journals African traditional abdominal massage in pregnancy resulting in antepartum uterine rupture, abruptio placenta and foetal demise – a case report

2021 ◽  
Vol 11 (1) ◽  
pp. 265
Author(s):  
Simeon C. Amadi ◽  
Peter A. Awoyesuku ◽  
Rose S. Iwo-Amah ◽  
Sandra U. Ibeabuchi
Keyword(s):  
Case Report ◽  
Uterine Rupture ◽  
Maternal Morbidity ◽  
Exploratory Laparotomy ◽  
Foetal Death ◽  
Birth Attendants ◽  
Maternal Morbidity And Mortality ◽  
Abdominal Massage ◽  
Abruptio Placenta ◽  
In Pregnancy

The practice of abdominal massage dates to years ago and associated with foetal and maternal morbidity and mortality when undertaken by untrained traditional birth attendants in our setting. We present a 30-year old G3P2+0 with uterine rupture and intra-uterine foetal death following abdominal massage. She was resuscitated and had emergency exploratory laparotomy and repair of uterine rupture.

scholarly journals Formulating an anesthetic plan using a list of high-risk pregnant women on cloud-based business communication tools: a case report

2021 ◽  
Vol 7 (1) ◽  
Author(s):  
Junnosuke Kimura ◽  
Kento Kawamura ◽  
Manami Minoura ◽  
Ayako Hiramoto ◽  
Yoshifumi Suga ◽  
...  
Keyword(s):  
Case Report ◽  
High Risk ◽  
Cesarean Section ◽  
General Anesthesia ◽  
Pregnant Women ◽  
Cesarean Delivery ◽  
Business Communication ◽  
Communication Tools ◽  
Case Presentation ◽  
Emergency Cesarean

Abstract Background We report a case in which a list of high-risk pregnant women on cloud-based business communication tools was useful in formulating an anesthetic plan for unscheduled cesarean section. Case presentation A 37-year-old woman, who had been prescribed icosapentate for hypertriglyceridemia, received an antenatal anesthetic evaluation for possible cesarean delivery, and it was agreed that the anesthetic method for emergency cesarean section was general anesthesia if the surgery would take place within 7 days after the discontinuation of the drug, and regional anesthesia if it would take place any time later. Then this agreement was uploaded on the cloud-based business communication tools, and updated until she delivered her baby via unscheduled cesarean section. Conclusions A cloud-based business communication tools was useful in formulating an anesthesia plan for a patient undergoing a cesarean delivery. However, more discussion would be needed to utilize it in security.

scholarly journals Venomous Snakebite in Pregnancy and Good Outcome –A Case Report

2016 ◽  
Vol 27 (2) ◽  
pp. 86-88
Author(s):  
Mohammad Ali ◽  
Md Robed Amin ◽  
Mohammad Belalul Islam ◽  
Mohammad Haresur Rahman ◽  
Md Mahbubul Islam Mojumdar
Keyword(s):  
Case Report ◽  
Maternal Morbidity ◽  
Medical Literature ◽  
Morbidity And Mortality ◽  
Good Outcome ◽  
Fetal Wastage ◽  
Maternal Morbidity And Mortality ◽  
In Pregnancy

Worldwide occurrence of snakebite in pregnancy is little known in medical literature. Furthermore to the best of our knowledge there is no case report on Krait envenomation in pregnancy in Bangladesh. It carries significant fetal wastage and maternal morbidity and mortality. Here we report a mutligravida aged 27 years at her 24 weeks of gestation with krait bite with neuroparesis with good obstetrical outcome.Bangladesh J Medicine Jul 2016; 27(2) : 86-88

scholarly journals Caesarian Scar Pregnancy - A Diagnostic Dilemma

2016 ◽  
Vol 54 (202) ◽  
pp. 88-90
Author(s):  
Pratiksha Gupta ◽  
Anju Huria ◽  
Dilpreet Kaur ◽  
Reeti Mehra
Keyword(s):  
Uterine Rupture ◽  
Maternal Morbidity ◽  
Transvaginal Ultrasound ◽  
Morbidity And Mortality ◽  
Diagnostic Dilemma ◽  
Color Flow ◽  
Major Hemorrhage ◽  
Future Fertility ◽  
Risk Of Rupture ◽  
Maternal Morbidity And Mortality

Caesarean scar pregnancy is one of the rarest forms of ectopic pregnancy. Transvaginal ultrasound and color flow Doppler provides a high diagnostic accuracy. A delay in diagnosis and treatment can lead to uterine rupture, major hemorrhage, hysterectomy and serious maternal morbidity and mortality. Early diagnosis can offer treatment options of avoiding uterine rupture and hemorrhage, thus preserving the uterus and future fertility. Primary health care provider should know about this rare entity, because if diagnosed timely, and referral to specialized centre is done without delay will definitely save maternal morbidity and mortality. Management plan should be individualized. Termination of pregnancy is the treatment of choice in the first trimester. Expectant treatment has a poor prognosis because of risk of rupture. In this case report we aim to discuss the associated diagnostic dilemma, most appropriate methods of diagnosis and management, with their implications in clinical practice.Keywords: scar pregnancy; caesarian section; methotrexate. | PubMed

scholarly journals Ruptured Cesarean Scar Pregnancy: A Case Report

2019 ◽  
Vol 57 (217) ◽  
Author(s):  
Prishita Shah ◽  
Rosina Manandhar ◽  
Meena Thapa ◽  
Rachana Saha
Keyword(s):  
Case Report ◽  
Uterine Rupture ◽  
First Trimester ◽  
Emergency Laparotomy ◽  
Cesarean Scar Pregnancy ◽  
Cesarean Scar ◽  
Maternal Morbidity And Mortality ◽  
Subsequent Loss ◽  
Ectopic Pregnancies ◽  
Previous Cesarean

Cesarean scar pregnancy is a rare variant of ectopic pregnancy where the fertilized ovum gets implanted in the myometrium of the previous cesarean scar. The incidence of CSP among ectopic pregnancies is 6.1% and it is seen in approximately 1 in 2000 normal pregnancies.As trophoblastic invasion of the myometrium can result in uterine rupture and catastrophic hemorrhage termination of pregnancy is the treatment of choice if diagnosed in the first trimester. Expectant treatment has a poor prognosis and may lead to uterine rupture which may require hysterectomy and subsequent loss of fertility. We present a case report of a 24year old femaleG2P1L1with ruptured cesarean scar pregnancy who underwent emergency laparotomy and subsequently hysterectomy. In this case report, we aim to discuss ruptured cesarean scar pregnancy as obstetric emergency and methods by which we can make an early diagnosis that can be managed appropriately as to prevent maternal morbidity and mortality.

scholarly journals Heterotopic pregnancy: case report of a successful first trimester metacyesis management and a viable third trimester outcome

2018 ◽  
Vol 8 (1) ◽  
pp. 332
Author(s):  
Arvind Kumar Singh ◽  
Shazia Khan
Keyword(s):  
Case Report ◽  
Maternal Morbidity ◽  
Assisted Reproductive Technologies ◽  
First Trimester ◽  
Reproductive Technologies ◽  
Heterotopic Pregnancy ◽  
Third Trimester ◽  
Intrauterine Pregnancy ◽  
The Past ◽  
Maternal Morbidity And Mortality

Heterotopic pregnancies are rare combined intra and extrauterine pregnancies, the incidence of which has shown an increase over the past decade with the rising trend in assisted reproductive technologies (0.75-1.5%). Authors report a case of a 29 year old primigravida, a post IVF conception who presented at 6 weeks POG with a ruptured tubal and a viable intrauterine pregnancy. She underwent an emergency laparoscopic right salpingectomy and continued with her intrauterine pregnancy successfully till term. The article emphasizes the need of scanning the adnexa carefully in early pregnancy to diagnose and manage heterotopic pregnancy as early as possible to prevent catastrophic haemorrhage and maternal morbidity and mortality later.

Puerperal sub-acute uterine inversion: a rare case report

2017 ◽  
Vol 6 (8) ◽  
pp. 3709
Author(s):  
Reena Sharma ◽  
Kapil Malhotra ◽  
Poojan Dogra ◽  
Anil Kumar ◽  
Sushruti Kaushal ◽  
...  
Keyword(s):  
Case Report ◽  
Maternal Morbidity ◽  
Rare Case ◽  
Morbidity And Mortality ◽  
Uterine Inversion ◽  
Peripheral Hospital ◽  
Third Stage ◽  
Maternal Morbidity And Mortality ◽  
Rare Case Report

Puerperal uterine inversion is a complication of third stage of labour, which can lead to maternal morbidity and mortality due to haemorrhage shock and infection. Early cases can be managed by manual reposition of uterus but neglected or late cases of uterine inversion are managed by Haultain`s repair. Here we are presenting a case of subacute uterine inversion referred from peripheral hospital managed by Haultain’s technique.

scholarly journals Uterine Rupture at 21 Weeks in Twin Pregnancy with TTTS and Previous C-Section

2017 ◽  
Vol 2017 ◽  
pp. 1-4
Author(s):  
Gieta Bhikha-kori ◽  
Marieke Sueters ◽  
Johanna M. Middeldorp
Keyword(s):  
Health Problem ◽  
Uterine Rupture ◽  
Maternal Morbidity ◽  
Twin Pregnancy ◽  
Morbidity And Mortality ◽  
Maternal Morbidity And Mortality

Uterine rupture is a health problem in every country. The diagnosis is not always obvious and fetal and maternal morbidity and mortality can be high.

Unexplained Spontaneous Complete Uterine Rupture in the Second Trimester: A Rare Event. Case Report and Literature Review

2014 ◽  
Vol 30 (2) ◽  
pp. 108-110
Author(s):  
Reetu Hooda ◽  
Anjali Gupta ◽  
Nirmala Duhan ◽  
Daya Sirohiwal ◽  
Hemant More
Keyword(s):  
Case Report ◽  
Literature Review ◽  
Uterine Rupture ◽  
Rare Event ◽  
Second Trimester

scholarly journals Post-operative maternal morbidity and mortality after caesarean delivery and laparotomy for uterine rupture at the gynecology and obstetrics service of the Ignace Deen National Hospital in Guinea

2020 ◽  
Vol 9 (11) ◽  
pp. 4367
Author(s):  
Ibrahima S. Balde ◽  
Ousmane Balde ◽  
Ibrahima Stylla ◽  
Alhassane II Sow ◽  
Massa Keita ◽  
...  
Keyword(s):  
Surgical Procedures ◽  
Uterine Rupture ◽  
Maternal Morbidity ◽  
Caesarean Delivery ◽  
Morbidity And Mortality ◽  
Morbidity Rate ◽  
Significance Level ◽  
Gynecology And Obstetrics ◽  
Maternal Morbidity And Mortality ◽  
One Year

Background: The aim of the work was to study post-operative maternal morbidity and mortality after caesarean delivery and laparotomy for uterine failure, to describe the main causes and to analyze the risk factors.Methods: It was a descriptive, comparative and analytical study lasting 2 years with data collection in 2 phases, one of which was a retrospective study lasting one year from July 2018 to June 2019 and the other a prospective study also lasting one year, from July 2019 to June 2020. It concerned all pregnant women who had been caesarized or had had a laparotomy for uterine rupture with complications and those who had not developed any complications. The parameters studied were types of complications, risk factors and maternal mortality. The Chi-square test was used to compare the two populations with a significance level p=0.05.Results: During the study period, 6141 hospitalizations were recorded among which 5682 surgical procedures were performed, i.e. 92.52% of hospitalizations. Caesarean delivery accounted for 90.55% of surgical procedures and laparotomy for uterine rupture for 1.10%. The overall maternal post-operative morbidity rate was 7.60%. Post-operative anemia was by far the most common complication (75.76%) followed by infection (23.46%). The maternal death rate was 0.92% with a ratio of 409.97 maternal deaths per 100,000 live births and more than 2/3 of these deaths were due to caesarean delivery. Anemia and septic shock were the main causes of death. Factors related to this post-operative maternal morbidity were: age greater than or equal to 40 years, multi-parity, illiteracy, emergency obstetric evacuation, low socio-economic level, poor quality of prenatal follow-up and rupture of membranes before admission.Conclusion: In the emergency context concerning majority of our cesarean deliveries and the totality of uterine ruptures predispose the mother to high significant morbidity and mortality.

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