التفاصيل البيبلوغرافية
| العنوان: |
Unexpected Uterine Rupture—A Case Report, Review of the Literature and Clinical Suggestions. |
| المؤلفون: |
Flis, Wojciech1,2 (AUTHOR), Socha, Maciej W.1,2 (AUTHOR) msocha@copernicus.gda.pl, Wartęga, Mateusz3 (AUTHOR), Cudnik, Rafał2 (AUTHOR) |
| المصدر: |
Journal of Clinical Medicine. May2023, Vol. 12 Issue 10, p3532. 10p. |
| مصطلحات موضوعية: |
*UTERINE rupture, *VAGINAL birth after cesarean, *LITERATURE reviews, *CESAREAN section, *INDUCED labor (Obstetrics), *OBSTETRICAL emergencies |
| مستخلص: |
Background and Objectives: Women with a history of cesarean section are a high-risk group because they are likely to develop uterine rupture during their next pregnancy. Current evidence suggests that a vaginal birth after cesarean section (VBAC) is associated with lower maternal mortality and morbidity than elective repeat cesarean delivery (ERCD). Additionally, research suggests that uterine rupture can occur in 0.47% of cases of trial of labor after cesarean section (TOLAC). Case Description: A healthy 32-year-old woman at 41 weeks of gestation, in her fourth pregnancy, was admitted to the hospital due to a dubious CTG record. Following this, the patient gave birth vaginally, underwent a cesarean section, and successfully underwent a VBAC. Due to her advanced gestational age and favorable cervix, the patient qualified for a trial of vaginal labor (TOL). During labor induction, she displayed a pathological CTG pattern and presented symptoms such as abdominal pain and heavy vaginal bleeding. Suspecting a violent uterine rupture, an emergency cesarean section was performed. The presumed diagnosis was confirmed during the procedure—a full-thickness rupture of the pregnant uterus was found. The fetus was delivered without signs of life and successfully resuscitated after 3 min. The newborn girl of weight 3150 g had an Apgar score of 0/6/8/8 at 1, 3, 5, and 10 min. The uterine wall rupture was closed with two layers of sutures. The patient was discharged 4 days after the cesarean section without significant complications, with a healthy newborn girl. Conclusions: Uterine rupture is a rare but severe obstetric emergency and can be associated with maternal and neonatal fatal outcomes. The risk of uterine rupture during a TOLAC attempt should always be considered, even if it is a subsequent TOLAC. [ABSTRACT FROM AUTHOR] |
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