267: Interdelivery interval length and obstetric outcomes during trial of labor after cesarean

Viteri, Oscar A.; Chauhan, S.P.; Mendez‐Figueroa, Hector; Hammad, Ibrahim; Roberts, Robyn P.; Sibai, Baha M.

doi:10.1016/j.ajog.2014.10.313

Cited by 3 publications

(1 citation statement)

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“…Prior studies have indicated the influence of thermal damage caused by bipolar electrocoagulation and lack of multiple-layer suturing [ 6 , 7 ]. Some earlier studies looked at the relationship between interdelivery interval length and obstetric outcomes after cesarean, Bujold E et al [ 8 ] suggested that the odds ratio for uterine rapture is 2.65 for interval < or = 24 m; while Viteri O et al [ 9 ] suggested that no association between interdelivery interval length and adverse maternal outcomes, including uterine rupture. These reports suggest a need to further study the contributing factors of uterine rupture after laparoscopic salpingectomy with cornual wedge resection.…”

Section: Discussionmentioning

confidence: 99%

Ultrasonic diagnosis of asymptomatic rupture of uterine in second trimester of pregnancy after laparoscopic surgery for interstitial pregnancy: a case report

Tong

Gong

Yuan

et al. 2021

BMC Pregnancy Childbirth

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Background Uterine rupture is a rare, life-threatening event in obstetrics that may be fatal for the mother and fetus. Therefore, obstetricians need to pay attention to and should consider the antenatal diagnosis of uterine rupture in women having its risk factors. Successful conservative management for asymptomatic uterine rupture due to previous laparoscopic surgery for interstitial pregnancy has already been reported but remains understudied. Case presentation A 39-year-old woman was diagnosed asymptomatic uterine rupture at 22 weeks gestation by a routine second-trimester ultrasound scan. She had a history of laparoscopic salpingectomy with cornual wedge resection for interstitial pregnancy 10 months before this pregnancy. Refusing doctor’s twice advice of terminating the pregnancy, the patient insisted carrying on the pregnancy, and followed up by ultrasound and magnetic resonance imaging. Fetal growth was appropriate, fetal movements were good and the patient had no symptoms, without uterine contraction or amniotic fluid loss throughout follow-up period. Caesarean section was carried out at 34 + 1 weeks with a good maternal and neonatal outcome. Conclusions A previous history of laparoscopic salpingectomy with cornual wedge resection could be a risk factor for uterine rupture in pregnant women. Sonographers should be alert to this potential risk in pregnant women with a history of laparoscopic salpingectomy with cornual wedge resection even in asymptomatic patients.

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Section: Discussionmentioning

confidence: 99%