Uterine rupture during pregnancy: The URIDA (uterine rupture international data acquisition) study

Tinelli, Andrea; Kosmas, Ioannis; Carugno, Josè; Carp, Howard; Malvasi, Antonio; Cohen, Shlomo B.; Laganà, Antonio Simone; Angelini, Marta; Casadio, Paolo; Chayo, Jenifer; Cicinelli, Ettore; Gerli, Sandro; Jaraquemada, Josè Palacios; Magnarelli, Giulia; Медведєв, М. В.; Metello, José; Nappi, Luigi; Okohue, Jude Ehiabhi; Sparić, Radmila; Stefanović, Radomir; Tzabari, Avinoam; Vimercati, Antonella

doi:10.1002/ijgo.13810

Cited by 26 publications

(31 citation statements)

References 30 publications

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“…A recent study [ 16 ] showed that previous laparoscopic and abdominal myomectomies were associated with UR in pregnancy, and hysteroscopic myomectomy was associated to it at earlier gestational ages.…”

Section: Discussionmentioning

confidence: 99%

Uterine Rupture in Pregnancy following Two Abdominal Myomectomies and IVF

D'Asta

Gulino

Ettore

et al. 2022

Case Reports in Obstetrics and Gynecology

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Objective. Uterine rupture (UR) during pregnancy is an obstetric emergency that could determine poor maternal and neonatal outcomes. There are many factors that could increase the risk of UR, such as a previous myomectomy. The aim of this study is to evaluate the role of a previous myomectomy in a spontaneous UR in pregnancy. Methods. A 33-year-old primigravida comes to our obstetric emergency room for pelvic pain at 29 weeks of gestation. In her medical history, there were two previous surgical operations of abdominal myomectomy, one in 2015 and one in January 2021 (6 months before conception). After 34 minutes, a pubo-subumbilical longitudinal laparotomy was performed for pathological decelerations in the cardiotocography. In the peritoneal cavity, there was 500 mL of blood serum liquid. The right arm and shoulder of the fetus were extending out of the uterus across a breach of 5 cm near the right tubal corner. A corporal incision was performed, and a healthy baby was born and moved to neonatal intensive unit care. Results. A UR can occur at any stage of pregnancy, mostly during the third trimester of pregnancy. Risk factors that increase the incidence of a uterine rupture after myomectomy include a short period (i.e., <12 months) between the myomectomy and conception, the opening of the endometrial cavity, and large myomas (with a maximum diameter above 4 cm). Uterine rupture during pregnancy after abdominal myomectomy seems to be less frequent than after a laparoscopic one. Conclusion. Uterine rupture is an obstetric emergency; it is mandatory to consider this eventuality in pregnancy, particularly in the third trimester, if there was a previous laparoscopic myomectomy in the anamnesis of the patient.

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Section: Discussionmentioning

confidence: 99%

Uterine Rupture in Pregnancy following Two Abdominal Myomectomies and IVF

D'Asta

Gulino

Ettore

et al. 2022

Case Reports in Obstetrics and Gynecology

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“…The risk of uterine rupture was also higher in patients who underwent laparoscopic surgery than in those who underwent open surgery ( 10 ). Published reports have shown that in addition to uterine scar formation, there are also risks of uterine malformation or uterine rupture after mediastinal hysteroscopy ( 11 ) and Hysteroscopic myomectomy ( 12 ). Another study showed that treatment of adenomyosis with HIFU did not increase the risk of uterine rupture ( 13 ).…”

Section: Discussionmentioning

confidence: 99%

Spontaneous rupture of the uterus in the third trimester after high-intensity ultrasound ablation in adenomyosis: A case report

Jiang

et al. 2022

Front. Med.

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Adenomyosis is a benign uterine disease. Due to the higher incidence of adenomyosis and patients' demands for fertility, high-intensity ultrasound ablation has been widely used in gynecological patients with uterine fibroids and adenomyosis. Ultrasound ablation of lesions can help alleviate symptoms in patients without increasing the incidence of obstetric complications in subsequent pregnancies. High-intensity ultrasound ablation is not considered a risk factor for uterine rupture. However, we describe a case of adenomyosis treated with high-intensity ultrasound ablation presenting with uterine rupture in the third trimester. The patient underwent an emergency cesarean section to deliver the baby successfully and underwent uterine repair surgery. When treating patients with adenomyosis, care should be taken to protect the myometrium, endometrium, and serous layer to reduce the risk of uterine rupture.

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“…Women with previous CS had an increased risk of uterine rupture than patients with unscarred uterus, so IOL in these patients should be done after thorough and detailed counseling with both patient and their relatives (8) . Many studies evaluated different methods of labor induction when the cervix is unfavorable, these methods were classified roughly into either pharmacological or mechanical methods (3) .…”

Section: Discussionmentioning

confidence: 99%

Comparison between Mechanical induced Cervical Dilatation in Previous Scar Woman in 2nd Trimaster Abortion Non-Randomized Controlled Study

Abdallah

Moheb²,

Mousa³

et al. 2022

Minia Journal of Medical Research

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Background and objective: Mechanical strategies incorporate the insertion of a balloon catheter or placement of a hygroscopic dilator. Balloon catheters were utilized within the larger part of past trials comparing mechanical and pharmacologic strategies. The objectives of this study were to compare the efficacy and safety of hygroscopic dilators and balloon catheters for ripening of the cervix in induction of labor. Methods: This study was a single-canter, nonrandomized, open-label trial conducted on participants who had been non-randomly allocated to either Dilapan-S (DS) or Foley balloon (FB) groups. The present study was conducted on 200 women, who had been selected randomly from attendants of the obstetrics and gynecology department at the Minia Maternity University Hospital in the period between October, 1 st 2020 and September, 1 st 2021. Results: The percentage of success rate was higher among the Dilapan-S group, however; there was non-statistically significant difference between both trial arms, [65/74 (87.8%) vs. 100/124 (806%), p-value= 0.131], in Dilapan-S and Foley balloon groups respectively. Conclusion: Dilapan-S is safe, effective induction method at second trimester termination with outcome comparable to Foley's balloon catheter in the cervical preparation. Both Dilapan-S and Foley's catheter have equivalent efficacy, lower risk of hyperstimulation and no clear evidence of increased infection risk.

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Uterine rupture during pregnancy: The URIDA (uterine rupture international data acquisition) study

Cited by 26 publications

References 30 publications

Uterine Rupture in Pregnancy following Two Abdominal Myomectomies and IVF

Uterine Rupture in Pregnancy following Two Abdominal Myomectomies and IVF

Spontaneous rupture of the uterus in the third trimester after high-intensity ultrasound ablation in adenomyosis: A case report

Comparison between Mechanical induced Cervical Dilatation in Previous Scar Woman in 2nd Trimaster Abortion Non-Randomized Controlled Study

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