Background: Uterine rupture is a tear in the uterine wall involving its full thickness, resulting in the formation of a defect in the uterine wall . The major risk factor is the presence of uterine scarring (specifically from Caesarean section), but it can also occur in an unscarred uterus . Although rare, this has been shown to result in more severe complications .Case: A 31-year-old woman, gravida 6 para 6, without prior uterine incision or manipulation developed significant postpartum bleeding . She was found to have a uterine rupture with retroperitoneal extension, and surgical management was required .
Pregnancy in patients with end-stage renal disease is rare, with a paucity of management guidelines in the literature. Various hemodialysis (HD) and peritoneal dialysis (PD) protocols have been used to successfully manage pregnancy in this population; however, there is a growing body of evidence that the best maternal and fetal outcomes are associated with intensified, high-dose HD. The optimal timing of transition from PD to HD is not known for prevalent PD patients who become pregnant. We report the case of a 32-year-old aboriginal female who became pregnant while being treated with chronic PD. She was converted to intensive HD early in the second trimester and underwent a planned caesarian section at 36 weeks with excellent outcomes for mother and child.
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