Spontaneous delivery through a cervical tear without cervical os dilatation

Djokovic, Dusan; Costa, Cristina; Martins, Ana; Abushad, Shadi

doi:10.1002/ccr3.107

Cited by 5 publications

(4 citation statements)

References 13 publications

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“…3 The known precipitating factors for CL in literature being previous interventions on the cervix 6-14% (polypectomy, LEEP, cerclage), induction of labour (threefold increased risk), use of Prostaglandins for induction of labour, precipitate labour, operative vaginal deliveries and birth weight > 3500gms. [1][2][3][4][5] However, in our experience of the known risk factors, the most common association were with induction of labour and operative vaginal delivery. In recent years the rate of induction of labour have exponentially increased.…”

Section: Discussionmentioning

confidence: 91%

Cervical lacerations: A case series

Quraishi,

Raj,

Rathore

2023

IJOGR

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Cervical laceration (CL) after vaginal delivery is one of the uncommon side effects with significant morbidity if undetected and unattended to promptly. This is however one of the common causes for postpartum haemorrhage. There are several documented risk factors for CL such as previous interventions on the cervix, induction of labour, use of Prostaglandins for induction, precipitate labour, operative vaginal deliveries and birth weight of more than 3500gm.In this article we have described a series of eleven women who were detected to have CL following vaginal delivery. One of whom had delivery of the baby through a bucket handle cervical tear with a non-dilated cervical os. Almost all of them needed multiple blood and product transfusions in view of postpartum haemorrhage with one of them developing acute kidney injury subsequently. This necessitates the need for prompt identification of CL and its needed intervention.

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Section: Discussionmentioning

confidence: 91%

Cervical lacerations: A case series

Quraishi,

Raj,

Rathore

2023

IJOGR

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“…Djokovic et al . reported a spontaneous delivery through a cervical tear provoked by prostaglandin-induced uterine contractions in a G2P0 woman with a history of cervical dilatation and uterine curettage [ 6 ]. Singhal et al reported the first two cases of bucket-handle cervical tears in a second trimester unscarred uterus after misoprostol use [ 7 ], and Abubeker et al .…”

Section: Discussionmentioning

confidence: 99%

“…During the serial digital examinations of the cervical response during induction of labor, particular attention should be paid to the characteristics and modification of the external os. Upon completion of cervical effacement and in the presence of significant uterine contractility, repetitive findings of a rigid external os should be considered as an alarm signal [ 6 ]. Our case was in the latent phase of labor throughout the induction of labor.…”

Section: Discussionmentioning

confidence: 99%

Bucket-handle cervical tear at term following oxytocin-induced vaginal delivery: a case report

et al. 2022

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Background A bucket-handle cervical tear, a laceration of the anterior or the posterior lip of the cervix so that it hangs like the handle of a bucket, is the rarest type of cervical laceration. Our case represents such a serious cervical laceration. Case summary A 28 year-old para 2 (both vaginal deliveries) Ethiopian mother presented at term with prolonged rupture of membrane. After 8 hours of oxytocin induction, a bucket-handle cervical detachment was detected at the time of her vaginal delivery, up on digital pelvic examination. Delivery of the baby was noted to be through the cervical tear, not the cervical opening. Cervix was amputated at the level of the cervical tear, 4 days after a failed initial repair surgery. Conclusion When bucket-handle cervical tear is encountered, a thorough clinical evaluation of the viability of the cervical tissue and feasibility of a repair procedure should be made during the first surgery. If the cervical detachment is near total, as in our case, we recommend amputation of the hanging cervical tissue from the outset.

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“…A study from Smith et.al , showed that these tears were closely related to shoulder dystocia, episiotomy, prolonged second stage of labour, macrosomic baby and instrumental delivery [13] . In nulliparous women at term, external cervical os remains stationary during the cervical shortening, but it quickly evolves once the cervical effacement is completed [14] .…”

Section: Discussionmentioning

confidence: 99%

Case Control Study: Incidence And Risk Factors Of Postpartum Haemorrhage In Primigravida

Yusof¹

2020

Preprint

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Introduction: According to WHO, postpartum haemorrhage is defined as blood loss of more than 500 mL following vaginal delivery. Postpartum haemorrhage is still one of the leading causes of maternal deaths in Malaysia. The risk factors of postpartum hemorrhage in this study was divided into three which were pre-pregnancy, antenatal and intrapartum. Methods: A case control study was performed to identify the risk factors for postpartum hemorrhage among primigravida in Sungai Buloh Hospital from 2016 to 2018. From the calculation done by using simple random sampling method, the required respondents were 150 for both case and control. The data collection method was in an audit form. The data obtained was entered using SPSS 21 (a statistical software). Results: From 2016 to 2018, 75 cases and 75 random controls of postpartum hemorrhage among primigravida were identified . The risk factors associated with postpartum hemorrhage in primigravida that is significant were age (P=0.001), occupation mainly self-employed ( P= 0.001), anemia during antenatal (P= 0.001), uterine fibroid (P=0.007), prolonged labour more than 8 hours (P=0.005), instrumental delivery (p=0.001) ,extensive vaginal wall tear (P= 0.009), cervical tear (P =0.013), 3rd and 4th degree tear (P=0.006), uterine atony (P=0.001) and vascular lower segment during caesarean section (P=0.029). Conclusion: The results showed that the risk factors for post-partum hemorrhage in primigravida were age, occupation (self-employed), antenatal anemia, uterine fibroid, prolonged labour more than 8 hours, instrumental delivery, extensive vaginal wall tear, cervical tear, 3rd and 4th degree tear, uterine atony and vascular lower segment during Caesarean section.

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Spontaneous delivery through a cervical tear without cervical os dilatation

Cited by 5 publications

References 13 publications

Cervical lacerations: A case series

Cervical lacerations: A case series

Bucket-handle cervical tear at term following oxytocin-induced vaginal delivery: a case report

Case Control Study: Incidence And Risk Factors Of Postpartum Haemorrhage In Primigravida

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