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Uterine Rupture

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2481. Massive and acute hemoperitoneum due to rupture of the uterine artery by erosion from an endometriotic lesion. (Abstract)

Massive and acute hemoperitoneum due to rupture of the uterine artery by erosion from an endometriotic lesion. To report a case of acute hemoperitoneum due to erosion of the uterine artery by an endometriotic lesion of the left ovary.Case report and review of literature.University medical center.A 39-year-old nulliparous woman with stage 3 endometriosis.Operative laparoscopy followed by laparotomy, oophorectomy, and ligation of the bleeding uterine artery.Patient is fully recovered (...) and is attempting to conceive.An endometriotic lesion eroded the wall of the uterine artery, causing massive, acute hemoperitoneum. Such an event may be overlooked during laparotomy and attributed to the trauma of surgery.

2002 Fertility and Sterility

2482. Uterine rupture: risk factors and pregnancy outcome. (Abstract)

Uterine rupture: risk factors and pregnancy outcome. This study aimed at determining risk factors and pregnancy outcome in women with uterine rupture.We conducted a population-based study, comparing all singleton deliveries with and without uterine rupture between 1988 and 1999.Uterus rupture occurred in 0.035% (n=42) of all deliveries included in the study (n=117,685). Independent risk factors for uterine rupture in a multivariable analysis were as follows: previous cesarean section (odds (...) ratio [OR]=6.0, 95% CI 3.2-11.4), malpresentation (OR=5.4, 95% CI 2.7-10.5), and dystocia during the second stage of labor (OR=13.7, 95% CI 6.4-29.3). Women with uterine rupture had more episodes of postpartum hemorrhage (50.0% vs 0.4%, P<.01), received more packed cell transfusions (54.8% vs 1.5%, P<.01), and required more hysterectomies (26.2% vs 0.04%, P<.01). Newborn infants delivered after uterine rupture were more frequently graded Apgar scores lower than 5 at 5 minutes and had higher rates

2003 American Journal of Obstetrics and Gynecology

2483. Uterine rupture, perioperative and perinatal morbidity after single-layer and double-layer closure at cesarean delivery. (Abstract)

Uterine rupture, perioperative and perinatal morbidity after single-layer and double-layer closure at cesarean delivery. This study was undertaken to evaluate the risks and benefits of single-layer uterine closure at cesarean delivery on the index and subsequent pregnancy.A retrospective study of women delivered of their first live-born infants by primary low transverse cesarean delivery (1989-2001) and their subsequent pregnancy at our institution was performed.Of 768 women studied, 267 had (...) single-layer and 501 had double-layer uterine closures in the index pregnancy. Single-layer closure was associated with slightly decreased blood loss (646 vs 690 mL, P<.01), operative time (46 vs 52 minutes, P<.001), endometritis (13.5% vs 25.5%, P<.001), and postoperative stay (3.5 vs 4.1 days, P<.001). In the second pregnancy, prior single-layer closure was not associated with uterine rupture after a trial of labor (0% vs 1.2%, P=.30), or other maternal or infant morbidities. Prior single-layer

2003 American Journal of Obstetrics and Gynecology

2484. Risk factors for uterine rupture and neonatal consequences of uterine rupture: a population-based study of successive pregnancies in Sweden. (Abstract)

Risk factors for uterine rupture and neonatal consequences of uterine rupture: a population-based study of successive pregnancies in Sweden. Uterine rupture is a rare but a catastrophic event. The aim of the present study was to explore the risk factors for uterine rupture and associated neonatal morbidity and mortality among a cohort of Swedish women attempting vaginal birth in their second delivery.Population-based cohort study.Sweden.A total of 300,200 Swedish women delivering two single (...) consecutive births between 1983 and 2001.Swedish population-based registers were used to obtain information concerning demographics, pregnancy and birth characteristics, and neonatal outcomes. Logistic regression was used to analyse potential risk factors for uterine rupture and risk of neonatal mortality associated with uterine rupture. Odds ratios were used to estimate relative risks using 95% CI.Uterine rupture and neonatal mortality in the second pregnancy.Compared with women who delivered vaginally

2007 BJOG

2485. Collagen content and growth factor immunoexpression in uterine lower segment of type IA osteogenesis imperfecta: Relationship with recurrent uterine rupture in pregnancy. (Abstract)

Collagen content and growth factor immunoexpression in uterine lower segment of type IA osteogenesis imperfecta: Relationship with recurrent uterine rupture in pregnancy. The purpose of this study was to evaluate collagen content and platelet-derived growth factor, vascular endothelial growth factor, and connective tissue growth factor expression in the myometrium of the uterine lower segment from a patient with type IA osteogenesis imperfecta with recurrent uterine rupture and to evaluate (...) the existence of a relationship between the rare recurrent uterine rupture and the tissue disorders of type IA osteogenesis imperfecta.Collagen content and platelet-derived growth factor, vascular endothelial growth factor, and connective tissue growth factor expression in the uterine lower segment were assessed in the patient with type IA osteogenesis imperfecta and in eight otherwise healthy ("control") patients.Type IA osteogenesis imperfecta contained less total collagen amount, with no difference

2003 American Journal of Obstetrics and Gynecology

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