Pregnancy following simple repair of the ruptured gravid uterus

Abstract

Eighteen pregnancies, occurring i n 15 patients in whom a simple repair of a ruptured gravid uterus had been performed previously. are reviewed. Seventeen of these h a d a successful outcome. There was no case of recurrent rupture.

Pregnancy outcome in patients with previous uterine rupture

“…Only 1 patient had subsequent symptomatic 2‐cm dehiscence. O'Connor and Gaughan (9) studied 67 cases of uterine rupture, 39 of which were complete. Of 34 patients whose rupture was repaired, 15 subsequently conceived (18 pregnancies).…”

“…The management of uterine rupture ranges from conservative repair to hysterectomy depending on the location, extent of rupture, and the patient's medical condition (2, 6), (7). Although preservation of fertility may be considered in young patients, few studies have addressed the issue of subsequent pregnancy outcome in patients with prior rupture (8–15). The objective of our study is to review the outcome of subsequent pregnancies in conservatively managed cases of uterine rupture at our institution.…”

Rupture of uterus in the first trimester during medical termination of pregnancy for exomphalos using mifepristone/misoprostol

“…A case series described 18 pregnancies, occurring in 15 patients in whom a simple repair of a ruptured gravid uterus had been previously performed. Seventeen of these pregnancies had a successful outcome and there were no cases of recurrent rupture 17 . Therefore, there is evidence that a patient with previous uterine rupture can carry another pregnancy.…”

Scheduled Deliveries: Avoiding Iatrogenic Prematurity

“…To prevent recurrent uterine rupture, delivery by repeat cesarean section should be performed prior to spontaneous labor, with consideration for testing pulmonary maturity. 10 Although informative data on timing or recurrent uterine rupture are limited to case series, 16,17 it is reasonable to recommend delay of delivery to 35 weeks for women with a prior rupture of a classical incision and 37 weeks for women with a low transverse incision. Individualized care is important, including consideration of amniocentesis to confirm pulmonary maturity.…”