Spontaneous Rupture of Unscarred Gravid Uterus

Gurudut, K S; Gouda, Hareesh S.; Aramani, Sunil C.; Patil, Raju H.

doi:10.1111/j.1556-4029.2010.01622.x

Cited by 19 publications

(20 citation statements)

References 4 publications

(6 reference statements)

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“…4 Cases with no identifiable risk factors, some even in the absence of labor, have also been described. [5][6][7][8][9][10][11][12][13] Primary uterine rupture occurring without labor is often preceded by a period of vague abdominal pain and nausea, followed by sudden, severe abdominal pain and fetal compromise. From these limited data, risk factors for primary uterine rupture have been proposed, and include malpresentation, oxytocin use, abnormal placentation, previous invasive mole, grand multiparity, prior midtrimester uterine instrumentation, uterine anomalies, macrosomia, and fetopelvic disproportion.…”

mentioning

confidence: 99%

Maternal and fetal morbidity associated with uterine rupture of the unscarred uterus

Gibbins

Weber

Holmgren

et al. 2015

American Journal of Obstetrics and Gynecology

110

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mentioning

confidence: 99%

Maternal and fetal morbidity associated with uterine rupture of the unscarred uterus

Gibbins

Weber

Holmgren

et al. 2015

American Journal of Obstetrics and Gynecology

110

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“…It is being thought that severe military conflicts in Africa shorten the expected lifetime for more than 2 years. In general, WHO had calculated that 269 thousand people had died in 1999 due to the effect of wars and that loss of 8.44 million healthy years of life had occurred (2,3). Wars negatively affect the provision of health services.…”

Section: War and Women's Healthmentioning

confidence: 99%

“…Moreover, the wars cause the migration of qualified health employees, and thus the health services hitches. Assessments made indicate that the effect of destruction in the infrastructure of health continues for 5-10 years even after the finalization of conflicts (3). Due to resource requirements in the restructuring investments after war, the share allocated to health has decreased (1).…”

Section: War and Women's Healthmentioning

confidence: 99%

Unexpected Rupture of Unscarred Uterus at 12 Weeks of Pregnancy: A Case Report and Literature Review

Vaezi¹

2017

International Journal of Women’s Health and Reproduction Scienc

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IntroductionUterine rupture is an unusual but serious event in pregnancy. Most cases of uterine rupture occur in the second and third trimesters in the scarred uterus (such as previous caesarean section, hysterotomy or myomectomy) (1). The unscarred uterine rupture is an infrequent condition predisposed by multiparity, malpresentation, use of uterotonic drugs (such as oxytocin or prostaglandins), and connective tissue diseases (2). There are some reports regarding uterine rupture in the absence of labor, without any risk factors (3-9). The chief predisposing factor for unscarred uterine rupture is multiparity (3). On the other hand, unscarred uterine rupture in the absence of labor in the first trimester of pregnancy is a very rare phenomenon on which 3 cases were reported (10-12).In this paper, a very rare case of unscarred uterine rupture in the first trimester in the absence of labor is presented where multiparity was the only risk factor. Case PresentationA 34 years old female with a history of vaginal delivery, gravida 2, para 1, and gestational age of 12-13 weeks referred to the emergency room of Tabriz Taleghani hospital. Her chief complain was abdominal pain. She was alert and oriented. She had no fever, chills, nausea, vomiting, vaginal bleeding or signs of delivery. She had no history of surgery, curettage, and abortion. Past medical history was negative. On physical examination, vital signs were stable. Abdominal examination revealed mild tenderness in the right lower quadrant, and cervix was normal and closed in gynecological examination. In laboratory tests, Hb was 10.6 mg/dL The patient was hospitalized and observed. Ultrasound was performed due to persistence and exacerbation of abdominal pain, and showed the intrauterine gestational sac with a live fetus of 12 weeks and 3 days. The amniotic fluid and adnexa were normal, and a lot of free liquid was seen in abdomen and pelvis which was infiltrated into the splenorenal and Morrison's space. Given the possibility of hemoperitoneum, she underwent urgent laparotomy through a midline incision, and there was about 2 L of blood in the abdomen and pelvis. A rupture of about 5 cm was found on the posterior wall of the uterus. Placenta and fetus with intact sac were bulging into the abdomen from the rupture site. There was an active bleeding from uterine rupture. Fetus and placenta were removed completely and the rupture was repaired in three layers of endometrium, myometrium, and perimetrium. The patient received two units of isogroup packed red blood cells and she was discharged on the third day (Figures 1 and 2). AbstractObjectives: Uterine rupture is an infrequent but serious event in pregnancy, which happens commonly in the second and third trimesters in scarred uteruses and labor phases. Uterine rupture during labor is very rare in the absence of scar and occurs mainly in multiparous women. This article introduces a very unusual case of unexpected rupture of an unscarred uterus in the 12th week of gestation. Case Presentation: A 34 year old woman with...

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“…The normal, unscarred uterus is least susceptible to rupture, the rate being 1 in 8,434 pregnancies (0.012%). 2 The incidence is significantly higher in developing countries than developed countries, possibly related to higher parity, longer labors, and a higher frequency of contracted pelvis in these areas, as well as a frequent lack of access to emergency obstetrical services. 3,4 Congenital uterine anomalies, multiparity, previous uterine myomectomy, the number and type of previous caesarean deliveries, foetal macrosomia, labor induction, uterine instrumentation, and uterine trauma all increase the risk of uterine rupture, whereas previous successful vaginal delivery and a prolonged interpregnancy interval after a previous caesarean delivery may confer relative protection.…”

Section: Introductionmentioning

confidence: 99%

“…1 Overall incidence of rupture of uterus during pregnancy is 1 in 1,536 pregnancies (0.07%). 2 The maternal and foetal prognosis are bad especially when the rupture occurs in an unscarred uterus. The normal, unscarred uterus is least susceptible to rupture, the rate being 1 in 8,434 pregnancies (0.012%).…”

Section: Introductionmentioning

confidence: 99%

Spontaneous rupture of an unscarred uterus during pregnancy: an interesting case report

Durga

2017

Int J Reprod Contracept Obstet Gynecol

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Uterine rupture in pregnancy is very rare and potentially catastrophic for both mother and foetus. The most common cause of uterine rupture is giving away of previous caesarean uterine scar. Spontaneous rupture of an unscarred uterus during pregnancy is a rare occurrence. We hereby present a rare case of a spontaneous complete uterine rupture in a non-labouring unscarred uterus of a 33-year-old nulliparous woman at 35 weeks of gestation. She presented with lower abdomen pain and decreased foetal movements at Institute of Obstetrics and Gynaecology, Chennai. Even before getting into labour, patient suddenly collapsed, and emergency laparotomy was proceeded in view of suspicious concealed abruption. There was frank hemoperitoneum along with a dead baby in the abdominal cavity. There was rupture of uterine fundus extending from one cornual end to the other and closure of uterine rent proceeded. Spontaneous rupture of uterus occurs when there is an upper segment uterine scar. She had a past history of eventful uterine curettage which was the risk factor for uterine rupture.

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Spontaneous Rupture of Unscarred Gravid Uterus

Cited by 19 publications

References 4 publications

Maternal and fetal morbidity associated with uterine rupture of the unscarred uterus

Maternal and fetal morbidity associated with uterine rupture of the unscarred uterus

Unexpected Rupture of Unscarred Uterus at 12 Weeks of Pregnancy: A Case Report and Literature Review

Spontaneous rupture of an unscarred uterus during pregnancy: an interesting case report

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