Caesarian Scar Pregnancy - A Diagnostic Dilemma

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

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

Case Reports in Obstetrics and Gynecology ◽

10.1155/2017/2690675 ◽

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.

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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

International Journal of Reproduction Contraception Obstetrics and Gynecology ◽

10.18203/2320-1770.ijrcog20204782 ◽

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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Uterine laceration – a rare case of postpartum hemoperitoneum

Česká gynekologie ◽

10.48095/cccg2021335 ◽

2021 ◽

Vol 86 (5) ◽

pp. 335-338

Author(s):

Carlos Silva Macedo ◽

◽

Cristina Pestana Domingos ◽

Rita Leiria Gomes ◽

Zeferino Pina ◽

...

Keyword(s):

Key Words ◽

Uterine Rupture ◽

Maternal Morbidity ◽

Rare Case ◽

Postpartum Haemorrhage ◽

Morbidity And Mortality ◽

Early Postpartum ◽

Maternal Morbidity And Mortality

Postpartum haemorrhage is a major cause of maternal morbidity and mortality worldwide. Early dia gnosis and treatment are essential to prevent sequelae or even death. We describe a rare case of early postpartum haemorrhage with hemoperitoneum due to a laceration of the uterine serosa with exposure of a uterine vessel solved by laparotomy. Key words: postpartum haemorrhage – uterine rupture – parturition

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UTERINE RUPTURE;

The Professional Medical Journal ◽

10.29309/tpmj/2013.20.05.1202 ◽

2013 ◽

Vol 20 (05) ◽

pp. 726-730

Author(s):

CHANDRA MADHUDAR ◽

AMBREEN GHORI ◽

FARKHUNDA KHURSHID ◽

Syed Zulfiquar Ali Shah ◽

Tarachand Devrajani

Keyword(s):

Uterine Rupture ◽

Maternal Morbidity ◽

Descriptive Study ◽

Morbidity And Mortality ◽

University Hospital ◽

Collaborative Approach ◽

Careful Selection ◽

Maternal Morbidity And Mortality ◽

Obstetrical Emergency ◽

Study Setting

objective: To evaluate frequency, maternal morbidity and mortality in patients with uterine rupture at Gynae Unit -II of civilHospital Hyderabad. Study design: Prospective descriptive study. Study setting: Department of Obstetrics and Gynecology, unit-IILiaquat University Hospital Hyderabad Sindh Pakistan; from 1st October 2010 to 31st March 2011. Subjects and methods: All thepatients diagnosed as case of uterine rupture was taken as study subject. Data was collected in a pre-designed porforma. Variableanalyzed were frequency, demographic characters, maternal morbidity and mortality. Results: During the study, 34 patients out of 1400deliveries presented with uterine rupture resulting in a frequency of 2.42%or 1: 41deliveries. 64.7%(22) patients were between 26 to 35years age and 67.64%(23) were multipara.26.47%(9) presented with extension of tears, 17.6%(6) with shock,20.5%(7) with septicemiaand 20.5%(7) with wound infection. Conclusions: Uterine rupture is yet a common obstetrical emergency in our area. The significantmorbidity and mortality deserves our special attention by a collaborative approach. Regular ante natal checkups, careful selection ofpatients for vaginal delivery, vigilantly monitoring during labor with smooth switch over to operative delivery can reduce this drasticobstetrical complication.

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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

Reproductive Medicine Gynaecology & Obstetrics ◽

10.24966/rmgo-2574/100073 ◽

2021 ◽

Vol 6 (2) ◽

pp. 1-6

Author(s):

Balde Ibrahima Sory ◽

Keyword(s):

Risk Factors ◽

Uterine Rupture ◽

Maternal Morbidity ◽

Caesarean Delivery ◽

Morbidity And Mortality ◽

National Hospital ◽

Gynecology And Obstetrics ◽

Maternal Morbidity And Mortality

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.

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