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Uterine Rupture

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181. Early Detection of Chorioamnionitis in Preterm Premature Rupture of Membranes

Early Detection of Chorioamnionitis in Preterm Premature Rupture of Membranes Early Detection of Chorioamnionitis in Preterm Premature Rupture of Membranes - Full Text View - ClinicalTrials.gov Hide glossary Glossary Study record managers: refer to the if submitting registration or results information. Search for terms x × Study Record Detail Saved Studies Save this study Warning You have reached the maximum number of saved studies (100). Please remove one or more studies before adding more (...) . Early Detection of Chorioamnionitis in Preterm Premature Rupture of Membranes (AiRPM) The safety and scientific validity of this study is the responsibility of the study sponsor and investigators. Listing a study does not mean it has been evaluated by the U.S. Federal Government. of clinical studies and talk to your health care provider before participating. Read our for details. ClinicalTrials.gov Identifier: NCT02901795 Recruitment Status : Recruiting First Posted : September 15, 2016 Last Update

2016 Clinical Trials

182. Premature Rupture of Membranes With a Bishop Score<6: Comparison of Medical Induction/Expectant Management

: No Criteria Inclusion Criteria: Term pregnancies >37 weeks of gestation. Certain rupture of membranes. Bishop score < 6. Singleton pregnancies. Vertex presentation. No obstetric or clinical contraindications for labor induction. Reactive non stress test on presentation. Exclusion Criteria: Previous cesarean section. Previous uterine surgeries (Myomectomy etc.). Placenta Previa. Multiple gestation pregnancies. Pregnancies with history of fetal reduction or Intrapartum uterine fetal demise. Known fetal (...) Premature Rupture of Membranes With a Bishop Score<6: Comparison of Medical Induction/Expectant Management Premature Rupture of Membranes With a Bishop Score<6: Comparison of Medical Induction/Expectant Management - Full Text View - ClinicalTrials.gov Hide glossary Glossary Study record managers: refer to the if submitting registration or results information. Search for terms x × Study Record Detail Saved Studies Save this study Warning You have reached the maximum number of saved studies (100

2016 Clinical Trials

183. Maternal Morbidity After Previable Prelabor Rupture of Membranes. (PubMed)

Maternal Morbidity After Previable Prelabor Rupture of Membranes. To identify risk factors for maternal morbidity after previable prelabor rupture of membranes (PROM).We conducted a case-control study of singleton and twin pregnancies complicated by previable PROM (14.0-22.9 weeks of gestation) at a single tertiary care referral institution, 2000-2015. Pregnancies complicated by fetal anomalies, previable PROM within 2 weeks of chorionic villus sampling or amniocentesis, and those (...) with contraindications to expectant management (eg, chorioamnionitis) were excluded. Cases were women with the primary outcome of composite maternal morbidity (defined as having at one or more of the following: sepsis, intensive care unit admission, acute renal insufficiency, uterine curettage, hysterectomy, deep vein thrombosis, pulmonary embolus, blood transfusion, readmission, or maternal death). Controls were women without the primary composite morbidity. Bivariate analysis compared demographic, clinical

2016 Obstetrics and Gynecology

184. Concomitant Vesicouterine Rupture with Avulsion of Ureter: A Rare Complication of Vaginal Birth after Cesarean Section (PubMed)

Concomitant Vesicouterine Rupture with Avulsion of Ureter: A Rare Complication of Vaginal Birth after Cesarean Section Uterine rupture is the most serious and life threatening complication and occurs in 0.7-0.9% of vaginal birth after lower segment caesarean section. Cases of bladder rupture along with uterine rupture have been rarely reported and avulsion of ureter, required ureteric implantation is even rarer. This case report describe a very rare case of vesicouterine rupture with avulsion (...) of ureter following vacuum assisted delivery in a grandmulti with previous lower segment cesarean section (LSCS). Haematuria is the most common presentation of bladder rupture. Antenatal counseling regarding this entity is recommended if woman opted for vaginal birth after cesarean section. Intrapartum and postpartum high index of suspicion are important in clinching the diagnosis.

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2016 Journal of clinical and diagnostic research : JCDR

185. Rare gynaecological emergency: massive intraperitoneal haemorrhage from spontaneous rupture of a superficial vessel on a large leiomyoma (PubMed)

Rare gynaecological emergency: massive intraperitoneal haemorrhage from spontaneous rupture of a superficial vessel on a large leiomyoma Uterine leiomyomas rarely present as gynaecological emergencies. We report a case of a 29-year-old nulliparous woman, with a negative pregnancy test, who presented with collapse and an admission haemoglobin count of 68 g/L. Urgent CT of the abdomen revealed a 14 × 19 × 10 cm uterine fibroid and intraperitoneal free fluid. Emergency laparotomy confirmed massive

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2016 BMJ case reports

186. Spontaneous Rupture of Pyometra Causing Peritonitis in Elderly Female Diagnosed on Dynamic Transvaginal Ultrasound (PubMed)

Spontaneous Rupture of Pyometra Causing Peritonitis in Elderly Female Diagnosed on Dynamic Transvaginal Ultrasound Pyometra is collection of pus within the uterine cavity and is usually associated with underlying gynaecological malignancy or other benign causes. Spontaneous rupture of pyometra is a rare complication. We report a case of a 65-year-old female who presented with acute abdomen and was diagnosed with a ruptured uterus secondary to pyometra and consequent peritonitis on dynamic (...) transvaginal sonography (TVS) which was later confirmed on contrast enhanced computed tomography (CECT). An emergency laparotomy was performed and about 800 cc of pus was drained from the peritoneal cavity. A rent was found in the anterior uterine wall and hence hysterectomy was performed. Histopathology revealed mixed inflammatory cell infiltrate with no evidence of malignancy. There are only 31 cases of ruptured pyometra reported till date, most of which were definitively diagnosed only on laparotomy

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2016 Case Reports in Radiology

187. Premature Rupture of Membranes

weeks in 22% References IX. Risk Factors History of PROM in prior pregnancy Prior or Cerclage Uterine distention Polyhydramnios pregnancy abuse Cervical or vaginal infections Intercourse (unproven) X. Evaluation Methods to confirm Rupture of Membranes ( ) or ( ) Other bedside evaluation Visualize with speculum to estimate dilation PCR and PCR from vagina and for well-being Advanced diagnostics to consider Exam of May help confirm PROM (e.g. oligohydramnios) Determines and placental location (...) Premature Rupture of Membranes Premature Rupture of Membranes Toggle navigation Brain Head & Neck Chest Endocrine Abdomen Musculoskeletal Skin Infectious Disease Hematology & Oncology Cohorts Diagnostics Emergency Findings Procedures Prevention & Management Pharmacy Resuscitation Trauma Emergency Procedures Ultrasound Cardiovascular Emergencies Lung Emergencies Infectious Disease Pediatrics Neurologic Emergencies Skin Exposure Miscellaneous Abuse Cancer Administration 4 Premature Rupture

2018 FP Notebook

188. Spontaneous Rupture of Uterus in a Primigravida at 26 weeks of Gestation with Placenta Previa and Percreta (PubMed)

. Hiranandani Hospital, Powai, Mumbai, India. Sewlikar Veena V Dr. L. H. Hiranandani Hospital, Powai, Mumbai, India. Jain Neha N Dr. L. H. Hiranandani Hospital, Powai, Mumbai, India. eng Journal Article 2016 06 08 India J Obstet Gynaecol India 0374763 0975-6434 Classical cesarean section Placenta accreta Placenta percreta Primigravida Spontaneous uterine rupture 2016 02 13 2016 05 07 2016 11 3 6 0 2016 11 3 6 1 2016 11 3 6 0 ppublish 27803553 10.1007/s13224-016-0913-z 913 PMC5080267 Obstet Gynecol. 2006 Sep (...) Spontaneous Rupture of Uterus in a Primigravida at 26 weeks of Gestation with Placenta Previa and Percreta 27803553 2018 11 13 0971-9202 66 Suppl 2 2016 10 Journal of obstetrics and gynaecology of India J Obstet Gynaecol India Spontaneous Rupture of Uterus in a Primigravida at 26 weeks of Gestation with Placenta Previa and Percreta. 717-719 Sahu Rakhee R RR Dr. L. H. Hiranandani Hospital, C 202, Blooming Heights, Pacific Enclave CHSL, Powai, Mumbai, 400076 India. Raut Vanita S VS Dr. L. H

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2016 Journal of obstetrics and gynaecology of India

189. Rupture utérine spontanée sur léiomyosarcome utérin (PubMed)

Rupture utérine spontanée sur léiomyosarcome utérin Uterine sarcomas are rare cancers characterized by clinical and histological polymorphism. They are malignant tumors of poor prognosis. Inaugural manifestation of acute abdomen with hemo-pneumoperitoneum and spontaneous uterine rupture remains exceptional. The authors report the case of a uterine leiomyosarcoma manifesting itself as an inaugural generalized acute peritonitis in a 43 year old woman. Uterine rupture due to malignant tumor

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2016 The Pan African medical journal

190. Rupture utérine sur utérus bicorne à 12 semaines d'aménorrhée: à propos d'un cas (PubMed)

Rupture utérine sur utérus bicorne à 12 semaines d'aménorrhée: à propos d'un cas The incidence of uterine malformations affecting reproduction is difficult to assess. Their identification requires a specific assessment (hysterosalpingography, hysteroscopy, laparoscopy). Spontaneous fertility can be affected depending on the type of uterine abnormality. All these abnormalities can affect the evolution of pregnancy causing early and late miscarriage, ectopic pregnancy, threat of premature (...) the necessary preventive measures. We report a case of uterine rupture in a patient with unicervical bicornuate uterus at 12 weeks of amenorrhea.

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2016 The Pan African medical journal

191. Push With Lower Uterine Segment Support

labor refers to failure of labor progress in spite of good uterine contractions and is attributed to mismatch between the size of the presenting part of the fetus and the mother's pelvis. Approximately 8% of maternal deaths worldwide are attributed to obstructed labor and subsequent puerperal infection, uterine rupture, and postpartum hemorrhage. In these situations, Cesarean section could minimize maternal and neonatal morbidity. However, Cesarean section is challenging when the head is deeply (...) Inclusion Criteria: Singleton term pregnancy, 37 to 42 weeks of gestation. Cephalic presentation. The cervix is fully dilated. Ruptured membranes. Adequate uterine contractions. Impacted fetal head in maternal pelvis Exclusion Criteria: Intrauterine fetal death Major fetal anomalies Non-cephalic presentation Multiple pregnancy Preterm caesarean < 37 weeks Abnormal placentation. Contacts and Locations Go to Information from the National Library of Medicine To learn more about this study, you or your

2016 Clinical Trials

192. Preoperative and Intraoperative Sonographic Assessment of Lower Uterine Segment Thickness at Term in Women With Previous Cesarean Delivery

years, reaching up to 32.2% in 2011 [https://www.destatis.de]. The absolute risk of uterine rupture in vaginal birth after Caesarean section is 1 in 100 deliveries. The risk of perinatal death or the outcome of extremely neurological impairment is 1 in 1000 deliveries [Cunningham et al., 2009]. Statistically more than 300 pregnant women with a prior caesarean delivery visit daily ultrasound departments of german hospitals to investigate the C-section scar before delivery. They have one important (...) question: Is it possible to predict successful trial of labor after cesarean delivery? [AQUA-Institut] The information for the risk of uterine rupture remains insufficient based only on ultrasonography assessment [Varner et al., 2012]. The measurement technique for lower uterine segment (myometrial) thicknesses in the third trimester have been described by several authors. Using a combination of preoperative transvaginal and transabdominal (linear/convex probe) ultrasound, we compare

2016 Clinical Trials

193. Optimization of the Healing Process of the Uterine Scar Tissue After Re-cesarean Section

, making up 32,1% of all deliveries in 2011. Several studies describe instances in which pregnancies following a previous Cesarean section were accompanied by complications such as life-threatening bleeding, placenta previa, placenta accreta, increta or percreta and dehiscence or uterine rupture. The risk of those complications increases further with the uterine scar tissue of a second Cesarean section. Today it is already common practice to resect uterine scars if the scar of a previous Cesarean (...) section becomes symptomatic, or when a non-symptomatic uterine rupture or serious dehiscence are discovered during a Cesarean delivery. In this study all participants of the interventional group are examined via intraoperative ultrasound to identify the first uterine Cesarean section scar and resect it completely. Six to nine months after the resection participants will return for a one time follow-up. At this time, the investigators will measure the number of uterine scars and median myometrial

2016 Clinical Trials

194. Efficacy of Combined Laparoscopic and Hysteroscopic Repair of Post-Cesarean Section Uterine Diverticulum: A Retrospective Analysis (PubMed)

Efficacy of Combined Laparoscopic and Hysteroscopic Repair of Post-Cesarean Section Uterine Diverticulum: A Retrospective Analysis Diverticulum, one of the long-term sequelae of cesarean section, can cause abnormal uterine bleeding and increase the risk of uterine scar rupture. In this study, we aimed to evaluate the efficacy of combined laparoscopic and hysteroscopic repair, a newly occurring method, treating post-cesarean section uterine scar diverticulum.Data relating to 40 patients (...) with post-cesarean section uterine diverticulum who underwent combined laparoscopic and hysteroscopic repair were retrospectively analyzed. Preoperative clinical manifestations, size of uterine defects, thickness of the lower uterine segment (LUS), and duration of menstruation were compared with follow-up findings at 1, 3, and 6 months after surgery.The average preoperative length and width of uterine diverticula and thickness of the lower uterine segment were recorded and analyzed. The average

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2016 BioMed research international

195. Curettage after uterine artery embolization combined with methotrexate treatment for caesarean scar pregnancy (PubMed)

. Five patients referred from other hospitals, where uterine curettage was the primary procedure, had severe complications including uncontrolled vaginal bleeding and uterine rupture. Four of the five patients were treated successfully with emergency UAE and the remaining patient underwent emergency hysterectomy as ultrasound examination detected significant haemorrhage between the uterus and the bladder. Of the 25 patients who received prophylactic UAE combined with MTX, there were no reports (...) Curettage after uterine artery embolization combined with methotrexate treatment for caesarean scar pregnancy In the present study, we evaluated the diagnosis and management modalities of caesarean scar pregnancy (CSP). Thirty patients diagnosed with CSP were retrospectively studied between February, 2010 and February, 2012. Twenty-five patients were offered prophylactic uterine artery embolization (UAE) and methotrexate (MTX) prior to uterine suction curettage. Five cases were referred from

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2016 Experimental and therapeutic medicine

196. Uterine incarceration in a primigravid retroverted bicornuate uterus (PubMed)

from the enlarging uterus. A high clinical suspicion of uterine incarceration is confirmed with ultrasound. More advanced imaging such as MRI can be used as an adjunct to ultrasound imaging. Progression from expectant management to intervention is recommended as soon as possible to prevent complications such as uterine rupture and fetal demise. In subsequent pregnancies, close monitoring with serial ultrasounds is warranted to monitor for recurrence of incarceration which has been reported in a few (...) Uterine incarceration in a primigravid retroverted bicornuate uterus Uterine incarceration is a rare complication that usually occurs after the first trimester of pregnancy. It leads to increased maternal and/or fetal morbidity and mortality. Risk factors include retroversion of uterus and other pelvic abnormalities. Clinical presentation includes severe abdominal and pelvic pain symptoms. Patients can present with concurrent urinary symptoms due to increasing distortion of adjacent structures

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2016 BMJ case reports

197. Fertility After Poly-myomectomy Versus Uterine Artery Embolization for Symptomatic Uterine Fibroids

pregnancy : uterine rupture [ Time Frame: Until 30 months ] Number of adverse effects during pregnancy : abnormal placental position and implantation [ Time Frame: Until 30 months ] Number of adverse effects during pregnancy : preterm delivery [ Time Frame: Until 29 months ] Number of adverse effects during pregnancy : delivery hemorrhagy [ Time Frame: Until 30 months ] number of adverse effects in the newborn [ Time Frame: At day 3 of life ] Rate of small for gestational age, delivery presentation (...) Fertility After Poly-myomectomy Versus Uterine Artery Embolization for Symptomatic Uterine Fibroids Fertility After Poly-myomectomy Versus Uterine Artery Embolization for Symptomatic Uterine Fibroids - Full Text View - ClinicalTrials.gov Hide glossary Glossary Study record managers: refer to the if submitting registration or results information. Search for terms x × Study Record Detail Saved Studies Save this study Warning You have reached the maximum number of saved studies (100). Please

2015 Clinical Trials

198. Uterine Transplantation for the Treatment of Uterine Factor Infertility

Uterine Transplantation for the Treatment of Uterine Factor Infertility Uterine Transplantation for the Treatment of Uterine Factor Infertility - Full Text View - ClinicalTrials.gov Hide glossary Glossary Study record managers: refer to the if submitting registration or results information. Search for terms x × Study Record Detail Saved Studies Save this study Warning You have reached the maximum number of saved studies (100). Please remove one or more studies before adding more. Uterine (...) Transplantation for the Treatment of Uterine Factor Infertility The safety and scientific validity of this study is the responsibility of the study sponsor and investigators. Listing a study does not mean it has been evaluated by the U.S. Federal Government. of clinical studies and talk to your health care provider before participating. Read our for details. ClinicalTrials.gov Identifier: NCT02573415 Recruitment Status : Recruiting First Posted : October 9, 2015 Last Update Posted : February 12, 2019 See

2015 Clinical Trials

199. A case with life-threatening uterine bleeding due to postmenopausal uterine arteriovenous malformation. (PubMed)

malformation who underwent emergency hysterectomy for sudden onset of life-threatening uterine bleeding following an initially successful but ultimately failed uterine artery embolization. Interestingly, it was not difficult to ligate and cut the dilated vessels and we were able to safely perform the hysterectomy with little bleeding in the operative field. The hysterectomy was successful, with most of the intraoperative vaginal blood loss due to the ruptured arteriovenous malformation. One year after (...) A case with life-threatening uterine bleeding due to postmenopausal uterine arteriovenous malformation. Uterine arteriovenous malformation is a rare but life-threatening condition that accounts for 1-2% of massive vaginal bleeding. Uterine arteriovenous malformations are less common after menopause. The condition can be diagnosed using Doppler ultrasound, magnetic resonance imaging, computed tomography, and pelvic angiography.We report a postmenopausal patient with a uterine arteriovenous

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2015 BMC Women's Health

200. Delayed postpartum haemorrhage secondary to a ruptured uterine artery pseudo-aneurysm, successfully treated by transarterial embolisation (PubMed)

Delayed postpartum haemorrhage secondary to a ruptured uterine artery pseudo-aneurysm, successfully treated by transarterial embolisation A 29-year-old woman (gravida 1, para 1) had an uneventful first pregnancy and a delivery by emergency caesarean section at term. The caesarean section was complicated by a massive obstetric haemorrhage of 5000 ml. After closure, an immediate re-laparotomy was indicated due to heavy vaginal bleeding. The site of bleeding was identified as an extension (...) of the uterine incision, and was sutured. She was stabilised by transfusion of blood and blood products in the intensive therapy unit, and discharged 5 days later. The patient was re-admitted 6 weeks later with brisk, painless vaginal bleeding, passing large clots from a well-contracted uterus. Her haemoglobin decreased from 11.8 to 7.8 g/dl overnight. In view of her history, an urgent CT angiogram was performed, which revealed the presence of a pseudo-aneurysm arising from the left uterine artery

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2011 BMJ case reports

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