Uterine rupture associated with the use of misoprostol in the gravid patient with a previous cesarean section

1999 ◽  
Vol 180 (6) ◽  
pp. 1535-1542 ◽  
Author(s):  
Melanie M. Plaut ◽  
Martin L. Schwartz ◽  
Suzanne L. Lubarsky
Keyword(s):  
Cesarean Section ◽  
Uterine Rupture ◽  
Previous Cesarean Section ◽  
Previous Cesarean

Case report of a ruptured uterine sacculation in the 19th week of pregnancy

2019 ◽  
Vol 9 (1) ◽  
Author(s):  
Jann Lennard Scharf ◽  
Georgios Gitas ◽  
David Hartge ◽  
Achim Rody ◽  
Christos Kotanidis
Keyword(s):  
Case Report ◽  
Cesarean Section ◽  
Uterine Rupture ◽  
Imaging Techniques ◽  
Rare Complication ◽  
Previous Cesarean Section ◽  
Case Presentation ◽  
Retroverted Uterus ◽  
Increased Pressure ◽  
Previous Cesarean

AbstractBackgroundUterine sacculation with a resulting uterine rupture is a rare complication in pregnant patients. Fibroids or a previous cesarean section increase the risk of severe complications such as a uterine rupture due to increased pressure and the elongation of the affected uterine segment. Prenatal clinical diagnosis and medical imaging of a uterine sacculation and rupture of the uterus remain challenging, even with the most modern imaging techniques. An early diagnosis is essential to reduce severe complications.Case presentationHere, we report the case of a 38-year-old female patient II G I P in the 19th week of pregnancy with a ruptured uterine sacculation.ConclusionThis case report is intended to raise awareness for the importance of the knowledge and supervision of a retroverted uterus in early pregnancy, especially after a cesarean section.

Uterine Rupture After Previous Cesarean Section

2011 ◽  
Vol 31 (3) ◽  
pp. 183-184
Author(s):  
I. Al-Zirqi ◽  
B. Stray-Pedersen ◽  
L. Forsén ◽  
S. Vangen
Keyword(s):  
Cesarean Section ◽  
Uterine Rupture ◽  
Previous Cesarean Section ◽  
Previous Cesarean

scholarly journals Prevalence and determinants of uterine rupture in Ethiopia: a systematic review and meta-analysis

2020 ◽  
Vol 10 (1) ◽  
Author(s):  
Addisu Alehegn Alemu ◽  
Mezinew Sintayehu Bitew ◽  
Kelemu Abebe Gelaw ◽  
Liknaw Bewket Zeleke ◽  
Getachew Mullu Kassa
Keyword(s):  
Systematic Review ◽  
Cesarean Section ◽  
Uterine Rupture ◽  
Meta Analysis ◽  
Health Concern ◽  
Cochrane Library ◽  
Previous Cesarean Section ◽  
Urban Residence ◽  
Obstructed Labor ◽  
Previous Cesarean

Abstract Uterine rupture is a serious public health concern that causes high maternal and perinatal morbidity and mortality in the developing world. Few of the studies conducted in Ethiopia show a high discrepancy in the prevalence of uterine rupture, which ranges between 1.6 and 16.7%. There also lacks a national study on this issue in Ethiopia. This systematic and meta-analysis, therefore, was conducted to assess the prevalence and determinants of uterine rupture in Ethiopia. We followed the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) guidelines for systematic review and meta-analysis of studies. All observational published studies were retrieved using relevant search terms in Google scholar, African Journals Online, CINHAL, HINARI, Science Direct, Cochrane Library, EMBASE and PubMed (Medline) databases. Newcastle–Ottawa assessment checklist for observational studies was used for critical appraisal of the included articles. The meta-analysis was done with STATA version 14 software. The I2 test statistics were used to assess heterogeneity among included studies, and publication bias was assessed using Begg's and Egger's tests. Odds ratio (OR) with a 95% confidence interval (CI) was presented using forest plots. A total of twelve studies were included in this study. The pooled prevalence of uterine rupture was 3.98% (95% CI 3.02, 4.95). The highest (7.82%) and lowest (1.53%) prevalence were identified in Amhara and Southern Nations, Nationality and Peoples Region (SNNPR), respectively. Determinants of uterine rupture were urban residence (OR = 0.15 (95% CI 0.09, 0.23)), primipara (OR = 0.12 (95% CI 0.06, 0.27)), previous cesarean section (OR = 3.23 (95% CI 2.12, 4.92)), obstructed labor(OR = 12.21 (95% CI 6.01, 24.82)), and partograph utilization (OR = 0.12 (95% CI 0.09, 0.17)). Almost one in twenty-five mothers had uterine rupture in Ethiopia. Urban residence, primiparity, previous cesarean section, obstructed labor and partograph utilization were significantly associated with uterine rupture. Therefore, intervention programs should address the identified factors to reduce the prevalence of uterine rupture.

Complete Uterine Rupture a Stigma for Modern Obstetrics: An Observational Study

2020 ◽  
Vol 17 ◽  
Author(s):  
Naina Kumar ◽  
Ashu Yadav
Keyword(s):  
Observational Study ◽  
Cesarean Section ◽  
Rural Areas ◽  
Uterine Rupture ◽  
Perinatal Outcome ◽  
Morbidity And Mortality ◽  
Bladder Injury ◽  
Previous Cesarean Section ◽  
Tertiary Center ◽  
Previous Cesarean

Aims:: To know the and maternal and perinatal outcome in women with complete uterine rupture. Background: Uterine rupture is a catastrophic obstetric event associated with high maternal, perinatal morbidity and mortality. Objectives: The present study was conducted to know prevalence, risk factors, presentation, maternal, perinatal outcome in women with complete uterine rupture. Methods:: Present retrospective observational study was conducted on 31 women admitted to Obstetrics ward of rural tertiary center of Northern India with complete uterine rupture between January 2016 and December 2018 after Institutional ethical committee approval and informed written consent from participants. Data included socio-demographic parameters, gestation, predisposing factors, clinical features, site of rupture, associated bladder injury, need for hysterectomy, perinatal and maternal outcome. Statistical analysis was done using Statistical Package for the Social Sciences software version 22.0. Results:: Of total 9,156 deliveries during study period 31 women had uterine rupture, indicating prevalence of 0.34%. Of all, 21(67.7%) women had unscarred uterine rupture and 10(32.3%) scarred uterine rupture. Majority cases were un-booked (77.4%), multiparous (90.3%) and term at gestation (66.7%) with an average age of all cases as 26.97±3.73 years. Most common risk factor was injudicious use of oxytocic (29.0%) and previous cesarean section scar (22.6%). Most common site of unscarred uterine rupture was lower uterine segment (26.7%) and in scarred uterus, site of previous cesarean section (26.7%). Eight (25.8%) women had bladder injury. Total 24(77.4%) fetuses were stillborn. Seventeen (54.8%) women needed hysterectomy as lifesaving procedure and three (9.7%) succumbed to death despite of all resuscitative measures. Conclusion:: Hence, complete uterine rupture is common in rural areas and is serious obstetric emergency with high perinatal, maternal morbidity and mortality. Other: As most of the cases of complete uterine rupture occur in unbooked women, hence, motivating all antenatal women for regular antenatal visits can prevent the dreadful condition to a large extent, thereby saving many maternal and fetal lives.

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