Spontaneous rupture of unscarred uterus at early mid-trimester due to placenta percreta

Baruah, S; Gangopadhyay, P. K.; Labib, MM

doi:10.1080/01443610400008156

Cited by 13 publications

(9 citation statements)

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“…We also found high rates of abnormal placentation (~85%). Both of these findings are consistent with other publications 2,8,10 . Recently, we reported a similar trend in our population showing a comparable rise in the percentage of CB and congenital disorders of placental and umbilical cord development since 1988 11 .…”

Section: Discussionsupporting

confidence: 94%

“…A PubMed search from 1988 to 2019 using the MeSH terms “uterine rupture” and “second trimester” found 186 such cases. Most were associated with the use of labor induction agents for late termination of pregnancy, 4‐6 but some were related to surgical procedures involving the uterus with or without placenta percreta 3,7‐9 . The factors linked to uterine rupture were listed as scarred uterus, abnormal placentation, or both 2 …”

Section: Introductionmentioning

confidence: 99%

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Second‐trimester and early third‐trimester spontaneous uterine rupture: A 32‐year single‐center survey

Maymon

Mor

Betser

et al. 2020

Birth

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Background Second‐trimester and early third‐trimester uterine rupture in a nonlaboring woman is a very rare and life‐threatening condition for both mothers and newborns. We aimed to present clinical characteristics, prenatal findings, and maternal and neonatal outcomes following second‐trimester and early third‐trimester spontaneous antepartum uterine rupture in our institute. Method The medical records of all women with full‐thickness second‐trimester and early third‐trimester uterine rupture treated in our department from 1988 to 2019 were retrieved from the institutional database and reviewed. Small uterine defects, incomplete ruptures, and silent uterine incision dehiscence were excluded. Results From 1988 to 2019, 213 665 deliveries were recorded in our institute. Of these, 12 patients experienced second‐trimester or early third‐trimester spontaneous uterine rupture. Obstetric history revealed that 50% of the women in each period had undergone previous classical uterine incisions and 50% had a short interpregnancy (IP) interval. The mean age at diagnosis of uterine rupture was 26.3 ± 5.1 weeks. The ruptures were associated with abnormal placentation in 10 cases (83.3%): placenta previa (n = 7); and placenta previa and percreta (n = 3). No maternal mortality occurred. Seven of the 10 (70%) viable newborns survived. Conclusions The increasing rates of cesarean births (CB) may lead to iatrogenic complications including midgestational prelabor spontaneous uterine rupture, an obstetric emergency, which is hard to diagnose. Maternal and neonatal outcomes can be optimized by a greater awareness of the risk factors, recognition of clinical signs and symptoms, and the availability of ultrasound to assist in establishing a diagnosis to enable prompt surgical intervention.

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Section: Discussionsupporting

confidence: 94%

Section: Introductionmentioning

confidence: 99%

Second‐trimester and early third‐trimester spontaneous uterine rupture: A 32‐year single‐center survey

Maymon

Mor

Betser

et al. 2020

Birth

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“…These are most common for placenta percreta, for which per‐ and postsurgical morbidity is elevated; it is reported to be lethal in 7% of cases . Finally, more rarely, spontaneous uterine rupture in the second or third trimester of pregnancy has been described, combined with massive hemoperitoneum .…”

Section: Introductionmentioning

confidence: 99%

PACCRETA: Clinical situations at high risk of Placenta ACCRETA/Percreta: impact of diagnostic methods and management on maternal morbidity

Kayem

Deneux‐Tharaux

Sentilhes

2013

Acta Obstet Gynecol Scand

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Background. No population-based study has assessed the prevalence of placenta accreta, the predictive value of prenatal diagnostic examinations, the maternal morbidity associated with its management, or its psychological effects. Moreover, the technical resources necessary for the safest delivery of women at risk have not been clearly identified. Objectives. The primary objectives are to identify individual risk factors, as well as factors associated with types of management and with the healthcare facilities for postpartum hemorrhage. Secondary objectives are to (i) determine the prevalence of placenta accreta among women at risk; (ii) assess the predictive value of ultrasound and MRI for the diagnosis of placenta accreta in this population; (iii) evaluate psychological impact and physical complications; and (iv) report maternal physical complications during the year after delivery. Design. Population-based prospective observational study of pregnant women with a placenta inserted at a uterine scar. Setting. A total of 182 centers in eight French regions, with 270 000 deliveries annually. Methods. We expect to include 620 women at risk of placenta accreta in two years, of whom approximately 120 (20%) will have placenta accreta. Main outcome measures. The primary outcome measure is severe maternal hemorrhage; secondary outcome measures are maternal morbidity and deaths, predictive value of ultrasound and MRI, and psychological evaluations at 6 and 12 months. Conclusion. This study will be the first prospective population-based study to include women at risk of placenta accreta and to investigate incidence, prenatal detection, type of management, morbidity and maternal psychological consequences.

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“…Ainsi, dans de nombreux centres, le placenta accreta est devenu la principale cause d'hystérectomie [4]. Les autres complications décrites sont l'atteinte des organes adjacents dont le plus fréquent est la vessie, voire une rupture utérine spontanée au deuxième et troisième trimestre de la grossesse provoquant un hémopéritoine massif [5][6][7]. Le placenta percreta, en particulier, comprend une morbidité per-et postopératoire élevée [8].…”

Section: Introductionunclassified

Prise en charge du placenta accreta

Kayem

Grangé²,

Goffinet³

2007

Gynécologie Obstétrique & Fertilité

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Spontaneous rupture of unscarred uterus at early mid-trimester due to placenta percreta

Cited by 13 publications

References 1 publication

Second‐trimester and early third‐trimester spontaneous uterine rupture: A 32‐year single‐center survey

Second‐trimester and early third‐trimester spontaneous uterine rupture: A 32‐year single‐center survey

PACCRETA: Clinical situations at high risk of Placenta ACCRETA/Percreta: impact of diagnostic methods and management on maternal morbidity

Prise en charge du placenta accreta

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