Maternal Death After Uterine Rupture in an Unscarred Uterus: A Case Report

Dane, Banu; Dane, Cem

doi:10.1016/j.jemermed.2007.10.040

Cited by 20 publications

(24 citation statements)

References 15 publications

(13 reference statements)

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“…Maternal death occurred within 30 min after laparotomy in one case which was similar to a case report of Dane et al [13] in 2009. In this study, perinatal mortality was 53.8 % which was similar to the observation of Rashmi et al (78.66 %) [10].…”

Section: Discussionsupporting

confidence: 87%

Unscarred Uterine Rupture: A Retrospective Analysis

Vernekar

Roy

2015

J Obstet Gynecol India

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Introduction Uterine rupture is a catastrophic obstetrical emergency associated with a significant feto-maternal morbidity and mortality. Many risk factors for uterine rupture, as well as a wide range of clinical presentations, have been identified.Objectives To analyze the frequency, predisposing factors, and maternal and fetal outcomes of uterine rupture. Methods A retrospective analysis of cases of unscarred uterine rupture was conducted at the Department of Obstetrics and Gynecology, RIMS, Imphal from June 1, 2010 to June 30, 2012. Results Our analysis comprised 13 cases. Of these, 30.8 % were booked cases. Most of the cases (46.2 %) were Para 2. Uterine rupture occurred at term in 10 cases. The rupture occurred due to mismanaged labor (30.8 %), the use of oxytocin (23 %), instrumental delivery (15.4 %), obstructed labor (15.4 %), induction by prostaglandin gel (7.7 %), and placenta percreta (7.7 %). Maternal deaths and perinatal deaths were 30.8 and 53.8 %, respectively. Sub-total hysterectomy was done in 8 cases and in 1 patient laparotomy with repair was performed. 123 mismanaged labor, grand multiparas, and obstructed prolonged labor must be managed by properly trained personnel at a tertiary care center in order to avoid the morbidity or mortality.

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Section: Discussionsupporting

confidence: 87%

Unscarred Uterine Rupture: A Retrospective Analysis

Vernekar

Roy

2015

J Obstet Gynecol India

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“…This was comparable with the study by Ahmadi et al in which it was 7.1%. 12 Maternal death was seen within 30 minutes after laparotomy in 1 case which was similar to a case report of Dane B et al 16 In this study, perinatal mortality was 97.5 % which was more than that of the observation of Rashmi et al (78.66%) because of late referral from rural areas. 13 Sub-total hysterectomy was performed in 40% which was compared with the study done by Ahmadi S et al (32.1%).…”

Section: Discussionsupporting

confidence: 85%

A study of cases of rupture uterus in a tertiary medical college of Jharkhand, India

Kamal¹,

Singh

2017

Int J Reprod Contracept Obstet Gynecol

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Background: Uterine rupture is a grave condition which is almost fatal for fetus. The most common risk factor for the uterine rupture is previous uterine surgery. Other major factors are obstructed labor, multiparity, use of uterotonic drugs, placenta percreta and rarely intrauterine manipulations such as internal podalic version and breech extraction.Methods: This study was conducted over a period from March 2014 to September 2015, in the Department of Gynecology and Obstetrics, RIMS Ranchi, Jharkhand. All cases of rupture uterus, who were either admitted with or who developed this complication in the hospital, were included in the study.Results: There were 80 cases of rupture uterus out of 10474 deliveries. The incidence of rupture uterus was more (97.5%) in cases who had no previous antenatal checkup at all. Most of cases of previous caesarean section scar rupture during labour was lower segment caesarean section scar (94.11%). The most common causes of traumatic rupture were injudicious use of oxytocics (75%). Majority of cases of rupture uterus were of complete type (96.25%). The most frequent site of rupture was in the anterior wall of lower segment in 68.75% of cases. The maternal mortality rate cases of rupture uterus were 3.75%.Conclusions: Proper antenatal care and updated training courses of health care providers should be stressed to prevent this catastrophic but avoidable complication.

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“…Rupture of a pregnant uterus is an emergency condition, and harmful to mother and baby; however, uterine rupture often occurs during labor. Some risk factors, including the use of augmentation drugs or external pressure for increasing uterine contraction, have been identified 1–4 . Among these, traumatic uterus might be one of the most important risk factors, and has contributed to the occurrence of scarred uterus and a subsequent tendency to uterine rupture.…”

Section: Introductionmentioning

confidence: 99%

“…Some risk factors, including the use of augmentation drugs or external pressure for increasing uterine contraction, have been identified. [1][2][3][4] Among these, traumatic uterus might be one of the most important risk factors, and has contributed to the occurrence of scarred uterus and a subsequent tendency to uterine rupture. For example, previous cesarean section, myomectomy, iatrogenic uterine perforation (curettage), and abnormal placentation (accreta, increta and percreta) or abnormal implantation will result in traumatic uterus.…”

Section: Introductionmentioning

confidence: 99%

Rupture of a pregnant unscarred uterus in an early secondary trimester: A case report and brief review

Sun

Chang

et al. 2012

J of Obstet and Gynaecol

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Rupture of a pregnant uterus in early pregnancy and an unscarred uterus are extremely rare, and some non-specific symptoms might appear before this occurrence. We report the case of a multiparous woman (gravida 3, para 2) with uterine fundal rupture in her early second trimester (17+ weeks of gestational age), who presented upper abdominal discomfort and vomiting for 3 days, and progressed into sudden acute abdomen and shock. During emergent laparotomy, the entire amniotic sac was found in the peritoneal cavity with a rupture of the uterine fundus. Although we could not confirm that the appearance of upper gastrointestinal symptoms and severe vomiting was associated with uterine rupture in this pregnant woman, abdominal symptoms or signs might be a hint or cause of severe catastrophic pregnancy-related complications.

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Maternal Death After Uterine Rupture in an Unscarred Uterus: A Case Report

Cited by 20 publications

References 15 publications

Unscarred Uterine Rupture: A Retrospective Analysis

Unscarred Uterine Rupture: A Retrospective Analysis

A study of cases of rupture uterus in a tertiary medical college of Jharkhand, India

Rupture of a pregnant unscarred uterus in an early secondary trimester: A case report and brief review

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