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Uterine Rupture

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41. Incidence and outcomes of uterine rupture among women with prior caesarean section: WHO Multicountry Survey on Maternal and Newborn Health Full Text available with Trip Pro

Incidence and outcomes of uterine rupture among women with prior caesarean section: WHO Multicountry Survey on Maternal and Newborn Health Caesarean section (CS) is increasing globally, and women with prior CS are at higher risk of uterine rupture in subsequent pregnancies. However, little is known about the incidence, risk factors, and outcomes of uterine rupture in women with prior CS, especially in developing countries. To investigate this, we conducted a secondary analysis of the World (...) Health Organization Multicountry Survey on Maternal and Newborn Health, which included data on delivery from 359 facilities in 29 countries. The incidence of uterine rupture among women with at least one prior CS was 0.5% (170/37,366), ranging from 0.2% in high-Human Development Index (HDI) countries to 1.0% in low-HDI countries. Factors significantly associated with uterine rupture included giving birth in medium- or low-HDI countries (adjusted odds ratio [AOR] 2.0 and 3.88, respectively), lower

2017 Scientific reports

42. Uterine rupture in a primigravid patient with an unscarred bicornuate uterus at term Full Text available with Trip Pro

Uterine rupture in a primigravid patient with an unscarred bicornuate uterus at term Uterine rupture of an unscarred primigravid uterus is an exceedingly rare event. Cases of spontaneous rupture of an unscarred bicornuate uterus have been reported, but typically occur in the first or second trimester.A 28-year-old primigravida at 37 weeks gestation with a known bicornuate uterus and no prior surgery underwent an emergent cesarean section after presenting with severe abdominal pain and signs (...) of fetal compromise. She was found to have a uterine rupture with the fetus free in the abdomen accompanied by a large hemoperitoneum. Both mother and baby did well postoperatively.Bicornuate uterus may be an independent risk factor for uterine rupture, which can occur in primigravid patients and at any gestation.

2017 Case Reports in Women's Health

43. Spontaneous subserosal venous rupture overlying a uterine leiomyoma in a young woman Full Text available with Trip Pro

Spontaneous subserosal venous rupture overlying a uterine leiomyoma in a young woman Uterine leiomyomas are very common tumors found in women. Rupture of veins on the surface of uterine leiomyoma is an unusual source of hemoperitoneum. It is an extremely uncommon gynaecological cause of hemoperitoneum. It is a life threatening emergency. We report a case of massive intraperitoneal hemorrhage due to rupture of vessels on the surface of subserous leiomyoma. A differential diagnosis of rupture

2017 The Pan African medical journal

44. Resuscitative endovascular balloon occlusion of the aorta as an adjunct for hemorrhagic shock due to uterine rupture: a case report Full Text available with Trip Pro

Resuscitative endovascular balloon occlusion of the aorta as an adjunct for hemorrhagic shock due to uterine rupture: a case report Resuscitative endovascular balloon occlusion of the aorta (REBOA) is a life-saving procedure used to control bleeding and maintain blood pressure temporarily in traumatic hemorrhagic shock. Uterine rupture and placenta accreta provoke uncontrollable massive hemorrhaging. REBOA may be useful for hemodynamic stabilization to prevent cardiac arrest in high-risk

2017 Clinical Case Reports

45. Uterine Rupture at 21 Weeks in Twin Pregnancy with TTTS and Previous C-Section Full Text available with Trip Pro

Uterine Rupture at 21 Weeks in Twin Pregnancy with TTTS and Previous C-Section Uterine rupture is a health problem in every country. The diagnosis is not always obvious and fetal and maternal morbidity and mortality can be high.

2017 Case reports in obstetrics and gynecology

46. Delayed postpartum hemoperitoneum due to uterine artery pseudoaneurysm rupture Full Text available with Trip Pro

Delayed postpartum hemoperitoneum due to uterine artery pseudoaneurysm rupture A 30-year-old woman experienced severe abdominal pain 8 days after vaginal delivery. The patient was diagnosed with hemoperitoneum due to rupture of the left uterine artery pseudoaneurysm, which was confirmed via ultrasound with color Doppler and computed tomography scans. This patient was treated with bilateral uterine artery embolization to maintain fertility. A uterine artery pseudoaneurysm that causes delayed (...) postpartum hemorrhage can occur after cesarean section or vaginal delivery. A uterine artery pseudoaneurysm can be fatal, so its detection and diagnosis are critical. Herein, we report a case of delayed postpartum hemoperitoneum due to uterine artery pseudoaneurysm rupture.

2017 Obstetrics & gynecology science

47. “Showercap” Sign: Spontaneous Uterine Rupture in a Primiparous Woman Full Text available with Trip Pro

“Showercap” Sign: Spontaneous Uterine Rupture in a Primiparous Woman A 32-year-old primiparous woman presented with severe abdominal pain at 21 weeks' gestation. Background history of laparoscopy for chronic pelvic pain and a spontaneous miscarriage was noted. On examination, she was peritonitic and tachycardic with low grade fever and anemia. MRI abdomen demonstrated a uterine rupture with a large cap of clotted blood overlying the uterine fundus with the appearance of a "shower cap (...) " and large volume haemoperitoneum, the presumptive diagnosis was uterine rupture with placental extrusion. Emergency laparotomy confirmed a two litre haemoperitoneum due to a 3cm defect at the uterine fundus through which a portion of placenta and membrane were extruding. Hysterotomy and delivery of the non-viable fetus was performed. The defect was repaired. It is important to remember that there are many causes of acute abdominal pain in pregnant patients, obstetric and other. Uterine rupture is a rare

2017 The Ulster medical journal

48. Uterine rupture and cesarean section-pregnancy interval: a systematic review of the literature, and mathematical modeling of the influence of extending the interval on ART pregnancy rates

Uterine rupture and cesarean section-pregnancy interval: a systematic review of the literature, and mathematical modeling of the influence of extending the interval on ART pregnancy rates Print | PDF PROSPERO This information has been provided by the named contact for this review. CRD has accepted this information in good faith and registered the review in PROSPERO. The registrant confirms that the information supplied for this submission is accurate and complete. CRD bears no responsibility

2019 PROSPERO

49. Uterine rupture and its association with adverse outcomes in Ethiopia: a systematic review and meta-analysis

Uterine rupture and its association with adverse outcomes in Ethiopia: a systematic review and meta-analysis Print | PDF PROSPERO This information has been provided by the named contact for this review. CRD has accepted this information in good faith and registered the review in PROSPERO. The registrant confirms that the information supplied for this submission is accurate and complete. CRD bears no responsibility or liability for the content of this registration record, any associated files

2019 PROSPERO

50. National Rates of Uterine Rupture are not Associated with Rates of Previous Caesarean Delivery: Results from the Nordic Obstetric Surveillance Study. (Abstract)

National Rates of Uterine Rupture are not Associated with Rates of Previous Caesarean Delivery: Results from the Nordic Obstetric Surveillance Study. Previous caesarean delivery and intended mode of delivery after caesarean are well-known individual risk factors for uterine rupture. We examined if different national rates of uterine rupture are associated with differences in national rates of previous caesarean delivery and intended mode of delivery after a previous caesarean delivery.This (...) study is an ecological study based on data from a retrospective cohort in the Nordic countries. Data on uterine rupture were collected prospectively in each country as part of the Nordic obstetric surveillance study and included 91% of all Nordic deliveries. Information on the comparison population was retrieved from the national medical birth registers. Incidence rate ratios by previous caesarean delivery and intended mode of delivery after caesarean were modelled using Poisson regression.The

2017 Paediatric and perinatal epidemiology

51. Evaluation of obstetricians' surgical decision making in the management of uterine rupture. Full Text available with Trip Pro

Evaluation of obstetricians' surgical decision making in the management of uterine rupture. Uterine rupture is an obstetric calamity with surgery as its management mainstay. Uterine repair without tubal ligation leaves a uterus that is more prone to repeat rupture while uterine repair with bilateral tubal ligation (BTL) or (sub)total hysterectomy predispose survivors to psychosocial problems like marital disharmony. This study aims to evaluate obstetricians' perspectives on surgical decision (...) making in managing uterine rupture.A questionnaire-based cross-sectional study of obstetricians at the 46th annual scientific conference of Society of Gynaecology and Obstetrics of Nigeria in 2012. Data was analysed by descriptive and inferential statistics.Seventy-nine out of 110 obstetricians (71.8%) responded to the survey, of which 42 (53.2%) were consultants, 60 (75.9%) practised in government hospitals and 67 (84.8%) in urban hospitals, and all respondents managed women with uterine rupture

2017 BMC Pregnancy and Childbirth

52. Association of Maternal Obesity With Maternal and Neonatal Outcomes in Cases of Uterine Rupture. (Abstract)

Association of Maternal Obesity With Maternal and Neonatal Outcomes in Cases of Uterine Rupture. To describe the risk of adverse outcomes associated with uterine rupture in the setting of maternal obesity.This was a retrospective cohort analysis of singleton nonanomalous neonates born after uterine rupture between 34 and 42 weeks of gestation. We derived data from the U.S. Natality Database from 2011 to 2014. Maternal prepregnancy body mass index (BMI) was categorized according to the World (...) Health Organization classification. The rates of neonatal and maternal complications were calculated for each BMI class. Multivariable logistic regression analysis was used to estimate the risks of these complications among obese pregnancies compared with normal-weight pregnancies.There were 3,942 cases of uterine rupture identified among 15,860,954 births (0.02%) between 2011 and 2014. Of these, 2,917 (74%) met inclusion criteria for analysis. There was an increased risk of low 5-minute Apgar score

2017 Obstetrics and Gynecology

53. Placenta Percreta-Induced Uterine Rupture at 7th Week of Pregnancy After In Vitro Fertilization in a Primigravida Woman: Case Report. (Abstract)

Placenta Percreta-Induced Uterine Rupture at 7th Week of Pregnancy After In Vitro Fertilization in a Primigravida Woman: Case Report.

2017 Journal of Emergency Medicine

54. Sonographic diagnosis of spontaneous uterine rupture at the site of cornual wedge resection scar – a case report Full Text available with Trip Pro

Sonographic diagnosis of spontaneous uterine rupture at the site of cornual wedge resection scar – a case report Introduction: Uterine rupture and uterine dehiscence during pregnancy are known complications of a scarred uterus. Spontaneous uterine rupture at the site of prior cornual wedge resection has been previously reported in the literature, however remains rare. Discussion: We present a case of uterine rupture at 30 weeks gestation. This woman had previous right sided interstitial (...) pregnancy treated with uncomplicated laparoscopic cornual wedge resection at eight weeks gestation. The index pregnancy occurred eight months after surgery. An emergency ultrasound prompted by non-specific abdominal pain and tenderness at 30 weeks gestation enabled diagnosis of uterine dehiscence. At emergency caesarean section four hours later full thickness wall rupture and haemoperitoneum were found. Surgical intervention resulted in a good outcome for both mother and baby. Conclusion: A brief

2015 Australasian journal of ultrasound in medicine

55. Reproductive Implications and Management of Congenital Uterine Anomalies

, including prolonged hospital stay, longer recovery time, postoperative intraperitoneal adhesions and uterine rupture during subsequent pregnancy. This intervention is not generally considered or advised in the absence of significant adverse reproductive history. Evidence on improving reproductive outcomes following abdominal metroplasty for unification defects on the uteri of women with past histories of repeated pregnancy loss or preterm deliveries is very limited. Only one controlled study of 21 women (...) Reproductive Implications and Management of Congenital Uterine Anomalies Reproductive Implications and Management of Congenital Uterine Anomalies - Akhtar - - BJOG: An International Journal of Obstetrics & Gynaecology - Wiley Online Library By continuing to browse this site, you agree to its use of cookies as described in our . Search within Search term Search term Search term Scientific Impact Paper Free Access Reproductive Implications and Management of Congenital Uterine Anomalies

2019 Royal College of Obstetricians and Gynaecologists

56. Uterine Rupture

Uterine Rupture Uterine Rupture 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 Uterine Rupture Uterine Rupture Aka: Uterine Rupture (...) , Uterine Scar Disruption , Rupture of Gravid Uterus , Rupture of Uterus During Labor From Related Chapters II. Epidemiology Overall risk: Up to 0.03 to 0.08% of all deliveries Uterine scar risk: Up to 0.3 to 1.7% of all deliveries with prior cesarean Low transverse scar ( , ): 0.8% risk: 0.06% III. Causes Rupture of uterine scar scar (most common cause) Prior uterine curettage or perforation High velocity collision More often in third trimester Associated with s and injury Typically affects uterine

2018 FP Notebook

57. ShortGUIDE: Term prelabour rupture of membranes (PROM)

, primary postpartum haemorrhage, caesarean section for fetal distress, uterine rupture, epidural analgesia, cord prolapse, stillbirth, Apgar 24 hours o Change in fetal movements o Signs of infection o Change in vaginal loss · Offer information that risk of infection: o Increased with vaginal intercourse o Not affected by showering or bathing · Recommend IOL if: o Woman requests o Concern for maternal or fetal wellbeing Expectant care at home? Recommend expectant care in hospital Indications for active (...) ShortGUIDE: Term prelabour rupture of membranes (PROM) Available from: www.health.qld.gov.au/qcg Effective: December 2018 | Review: December 2023 | Doc No: MN18.47-V1-R23 Queensland Clinical Guidelines short GUIDE Queensland Health Term prelabour rupture of membranes (PROM) IMPORTANT: Consider individual clinical circumstances. Read the full disclaimer at www.health.qld.gov.au/qcg Aspect Considerations Relevant to: · Pregnant women with a live singleton, fetus with cephalic presentation equal

2019 Queensland Health

58. ShortGUIDE: Preterm prelabour rupture of membranes (PPROM)

Guidelines Preterm prelabour rupture of membranes Available from: www.health.qld.gov.au/qcg © State of Queensland (Queensland Health) 2018 Page 2 of 4 Initial management Aspect Considerations Admission and inpatient care · If confirmed PPROM, admit for initial assessment and monitoring as per local protocols · Maintain a high index of suspicion for: o Cord prolapse o Antepartum haemorrhage o Infection—suggested initial monitoring: § Four hourly maternal heart rate, temperature, vaginal loss, uterine (...) criteria of clinical chorioamnionitis in preterm birth. BJOG: An International Journal of Obstetrics & Gynaecology 2017;124(5):775-83. 11. Queensland Clinical Guidelines. Preterm labour and birth. Guideline No. MN14.6-V7-R19. [Internet]. Queensland Health. 2014. [cited 2018 January 15]. Available from: http://www.health.qld.gov.au 12. Laskin MD, Yinon Y, WL. W. Preterm premature rupture of membranes in the presence of cerclage: is the risk for intra-uterine infection and adverse neonatal outcome

2019 Queensland Health

59. Lower uterine segment thickness to prevent uterine rupture and adverse perinatal outcomes: a multicenter prospective study. (Abstract)

Lower uterine segment thickness to prevent uterine rupture and adverse perinatal outcomes: a multicenter prospective study. Choice of delivery route after previous cesarean delivery can be difficult because both trial of labor after cesarean delivery and elective repeat cesarean delivery are associated with risks. The major risk that is associated with trial of labor after cesarean delivery is uterine rupture that requires emergency laparotomy.This study aimed to estimate the occurrence (...) of uterine rupture during trial of labor after cesarean delivery when lower uterine segment thickness measurement is included in the decision-making process about the route of delivery.In 4 tertiary-care centers, we prospectively recruited women between 34 and 38 weeks of gestation who were contemplating a vaginal birth after a previous single low-transverse cesarean delivery. Lower uterine segment thickness was measured by ultrasound imaging and integrated in the decision of delivery route. According

2016 American Journal of Obstetrics and Gynecology

60. Monochorionic twin delivery after conservative surgical treatment of a patient with severe diffuse uterine adenomyosis without uterine rupture Full Text available with Trip Pro

Monochorionic twin delivery after conservative surgical treatment of a patient with severe diffuse uterine adenomyosis without uterine rupture A 31-year-old nulliparous woman with severe diffuse uterine adenomyosis, which replaced nearly the whole uterine myometrium, visited our hospital due to severe dysmenorrhea, menorrhagia, and a desire to have a baby. The patient had a history of two spontaneous abortions. Laparotomic adenomyomectomy with transient occlusion of uterine arteries (TOUA (...) would be an option for conservative surgical treatment in patients with severe diffuse whole uterine adenomyosis. This is the first report of twin pregnancy after diffuse whole uterine adenomyomectomy with TOUA.

2016 Obstetrics & gynecology science

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