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 UTERINE RUPTURE DURING PREGNANCY – CASE REPORT

2021 ◽  
Vol 2 (2) ◽  
pp. 72-76
Author(s):  
Mihai Cristian Dumitrașcu ◽  
Răzvan Fodoroiu ◽  
George Cătălin Nenciu ◽  
Aida Petca ◽  
Răzvan Petca ◽  
...  
Keyword(s):  
Uterine Rupture ◽  
Signs And Symptoms ◽  
Caesarian Section ◽  
Uterine Wall ◽  
Emergency Laparotomy ◽  
Previous Caesarean Section ◽  
Third Trimester ◽  
Life Threatening ◽  
Life Threatening Complication ◽  
Uterine Scar

Uterine rupture is a life-threatening complication in pregnancy with no specific signs and symptoms, that requires fast diagnosis and surgical treatment. The main risk factors for uterine rupture are previous caesarean section deliveries and myomectomies, which can lead to improper uterine wall healing. We report a case of a 37-year-old secundigravida in 29 weeks of pregnancy, with prior caesarian delivery that was admitted in our ward for altered general status and abdominal pain. The patient underwent emergency laparotomy during which we found a massive 3500ml hemoperitoneum, 1000 g dead fetus and a rupture in the posterolateral uterine wall. The uterine scar from the previous caesarian section was intact. Uterine rupture is a complication with a growing incidence in past years that is very difficult to predict, which can occur at any time during pregnancy, especially during labour, but also in the second or early third trimester. Fast diagnosis and proper management is imperious because of the catastrophic outcomes uterine rupture is associated with.

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 RUPTURE OF UTERUS (FUNDUS)

2016 ◽  
Vol 23 (01) ◽  
pp. 114-117
Author(s):  
Mubasher Saeed Pansota ◽  
Aisha Ajmal ◽  
Bushra Sher Zaman
Keyword(s):  
Uterine Rupture ◽  
Past History ◽  
Sudden Onset ◽  
Gravid Uterus ◽  
History Of ◽  
Uterine Curettage ◽  
Rupture Of Uterus ◽  
Uterine Scar ◽  
Scarred Uterus ◽  
Uterine Fundus

Rupture of a gravid uterus is a surgical emergency. Predisposing factorsinclude a scarred uterus. Spontaneous rupture of an unscarred uterus during pregnancy is arare occurrence. We hereby present the case of a spontaneous complete uterine rupture at agestational age of 35 weeks 01 day in a 25 years old patient. The case was managed at theCivil Hospital Bahawalpur. She had past history of one uterine curettage for endometrial polypone year back. She presented with mild abdominal pains of sudden onset. After conservativemanagement for 10 hours in hospital she suddenly developed severe abdominal pains with P/Vbleeding. On ultrasound scan, uterine rupture was diagnosed and an emergency laparotomywas done. The ruptured amniotic sac with baby and placenta were found in the peritoneal cavitywith rupture of the uterine funds. Spontaneous uterine fundus rupture usually occurs whenthere is an upper segment uterine scar. This case report shows that past history of curettage isa risk factor for the presence of uterine scar.

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