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Uterine Rupture

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121. Antepartum uterine rupture in a twin gestation presenting as an advanced extrauterine pregnancy in a patient with a previous lower segment Caesarean section. (Abstract)

Antepartum uterine rupture in a twin gestation presenting as an advanced extrauterine pregnancy in a patient with a previous lower segment Caesarean section. We present a case of spontaneous antepartum uterine rupture through a previous lower segment Caesarean section (LSCS) scar with clinical features mimicking an advanced extrauterine pregnancy (AEUP) in a twin pregnancy at 28 weeks gestation. This report illustrates the need to consider a diagnosis of a ruptured uterus in any patient

2014 Tropical Doctor

122. Uterine rupture in resource-poor countries. (Abstract)

Uterine rupture in resource-poor countries. Rupture of the gravid uterus is an obstetric catastrophe associated with high levels of maternal-fetal mortality and morbidity.The aim of this study was to review the clinical experience with uterine rupture in resource-poor countries.A MEDLINE search of the clinical literature since 1960 was carried out using the headings "uterine rupture" and "ruptured uterus," including the Medical Subject Heading "developing countries." Further bibliographic (...) compilation was assisted by hand searches of references from retrieved articles. The available articles were then reviewed, synthesized, and summarized.Uterine rupture remains a major obstetric problem in resource-poor countries. In industrialized, high-resource countries, uterine rupture occurs most often in women who have had a previous cesarean delivery, whereas in resource-poor nations, uterine rupture is more commonly associated with obstructed labor, injudicious obstetric interventions/manipulations

2014 Obstetrical & Gynecological Survey

124. Pregnancy outcomes in patients with prior uterine rupture or dehiscence. Full Text available with Trip Pro

Pregnancy outcomes in patients with prior uterine rupture or dehiscence. To report obstetric outcomes in a series of women with prior uterine rupture or prior uterine dehiscence managed with a standardized protocol.Series of patients delivered by a single maternal-fetal medicine practice from 2005 to 2013 with a history of uterine rupture or uterine dehiscence. Uterine rupture was defined as a clinically apparent, complete scar separation in labor or before labor. Uterine dehiscence was defined (...) as an incomplete and clinically occult uterine scar separation with intact serosa. Patients with prior uterine rupture were delivered at approximately 36-37 weeks of gestation or earlier in the setting of preterm labor. Patients with prior uterine dehiscence were delivered at 37-39 weeks of gestation based on obstetric history, clinical findings, and ultrasonographic findings. Patients with prior uterine rupture or uterine dehiscence were followed with serial ultrasound scans to assess fetal growth and lower

2014 Obstetrics and Gynecology

126. Association of Montevideo units with uterine rupture in women undergoing a trial of labor. (Abstract)

Association of Montevideo units with uterine rupture in women undergoing a trial of labor. To determine if an association exists between Montevideo units (MVUs) and uterine rupture in women undergoing trial of labor after cesarean (TOLAC).A case-control study of women who underwent a TOLAC, comparing uterine rupture (n = 9) to successful vaginal birth after cesarean (VBAC) (n = 48) and failed TOLAC (n = 35). MVUs were calculated in 12 10-minute intervals prior to uterine rupture, cesarean (...) = 0.56], failed TOLAC and rupture [p = 0.37]). A post-hoc power analysis showed a mean difference of 50 MVUs (SD 45) between VBAC and rupture and 55 MVUs (SD 45) between failed TOLAC and rupture can be detected with a power of 80% at a significance of 0.05.There is no association between MVUs and uterine rupture in women undergoing a TOLAC.

2014 The Journal of reproductive medicine

127. Second-Trimester Uterine Rupture: Lessons Learnt Full Text available with Trip Pro

Second-Trimester Uterine Rupture: Lessons Learnt Uterine rupture is a rare life-threatening complication. It mainly occurs in the third trimester of pregnancy and is rarely seen during the first or second trimesters. Our centre experienced three important cases of uterine rupture.spontaneous uterine rupture at 14 weeks of pregnancy, which was diagnosed at autopsy. It was misled by the ultrasound finding of an intrauterine pregnancy, and searching for other non-gynaecological causes delayed (...) the urgent obstetric surgical management.ruptured uterus at 24 weeks following medical termination due to foetal anomaly. It was diagnosed only at laparotomy indicated for failed medical termination and chorioamnionitis. Third case: uterine rupture at 21 weeks of pregnancy in a patient with gastroenterology symptoms. In these reports, we have discussed the various risk factors, presentations, course of events and difficulties in diagnosing uterine rupture. The study concludes that the clinical

2014 The Malaysian journal of medical sciences : MJMS

128. MRA Mapping and Selective Embolization of a Large Uterine Cavity Pseudoaneurysm at 20 Weeks of Gestation Full Text available with Trip Pro

MRA Mapping and Selective Embolization of a Large Uterine Cavity Pseudoaneurysm at 20 Weeks of Gestation Antepartum uterine cavity pseudoaneurysm rupture can cause massive hemorrhage with high maternal and fetal mortality risk. Invasive placentation can predispose to vascular malformations. We present a novel use of macrocyclic intravenous contrast-enhanced magnetic resonance angiography for preprocedure planning followed by selective low radiation embolization of a uterine cavity (...) pseudoaneurysm in the setting of invasive placentation at 20 weeks of gestation. To our knowledge, this is the first reported case of uterine cavity pseudoaneurysm successfully mapped with MRA and treated with embolization at 20 weeks of gestation.

2018 Case reports in obstetrics and gynecology

129. Adverse obstetric outcomes in pregnant women with uterine fibroids in China: A multicenter survey involving 112,403 deliveries. Full Text available with Trip Pro

18 to 22 weeks. Obstetric outcomes include cesarean delivery, breech presentation, preterm delivery, placenta previa, placental abruption, premature rupture of membranes and neonatal birthweight. Univariate analyses and multivariate logistic regression analyses were performed.Of 112,403 women who underwent routine obstetric survey, 3,012 (2.68%) women were identified with at least 1 fibroid. By univariate and multivariate analyses, the presence of uterine fibroids was significantly associated (...) Adverse obstetric outcomes in pregnant women with uterine fibroids in China: A multicenter survey involving 112,403 deliveries. To estimate the association between uterine fibroids and adverse obstetric outcomes.This was a retrospective cross-sectional study of 112,403 deliveries from 14 provinces and 39 different hospitals in 2011 in mainland China. We compared pregnancy outcomes in women with and without uterine fibroids who underwent detailed second trimester obstetric ultrasonography during

2017 PLoS ONE

130. Uterine adenomyosis and adenomyoma: the surgical approach. Full Text available with Trip Pro

methods. Laparoscopic adenomyomectomy has also become an alternative to laparotomy for surgically managing the focal type of adenomyosis, although it seems to be associated with a higher risk of uterine rupture than laparotomy. This article reviews the surgical treatment of adenomyosis, including 23 uterine rupture cases that occurred during post-adenomyomectomy pregnancies, and provides an updated picture of the state of the field.Copyright © 2018 The Author. Published by Elsevier Inc. All rights (...) Uterine adenomyosis and adenomyoma: the surgical approach. The appropriate surgical treatment of adenomyosis, a benign invasion/infiltration of endometrial glands within the underlying myometrium, remains a subject of discussion. Since 1990, in place of the classical V-shaped resection method, various kinds of surgical management have been attempted, including a uterine muscle flap method that emphasizes fertility preservation, an asymmetric dissection method, and various modified reduction

2018 Fertility and Sterility

131. Safety of a condom uterine balloon tamponade (ESM-UBT) device for uncontrolled primary postpartum hemorrhage among facilities in Kenya and Sierra Leone. Full Text available with Trip Pro

relationship associated with use of the ESM-UBT device. Adverse events/complications specifically investigated included death, hysterectomy, uterine rupture, perineal or cervical injury, serious or minor infection, and latex allergy/anaphylaxis.Of the 201 women treated with an ESM-UBT device in Kenya and Sierra Leone, 189 (94.0%) survived. Six-week or longer follow-up was recorded in 156 of the 189 (82.5%). A causal relationship between use of an ESM-UBT device and one death, three perineal injuries (...) Safety of a condom uterine balloon tamponade (ESM-UBT) device for uncontrolled primary postpartum hemorrhage among facilities in Kenya and Sierra Leone. Postpartum hemorrhage is the leading cause of maternal mortality in low- and middle-income countries. While evidence on uterine balloon tamponade efficacy for severe hemorrhage is encouraging, little is known about safety of this intervention. The objective of this study was to evaluate the safety of an ultra-low-cost uterine balloon tamponade

2018 BMC Pregnancy and Childbirth

132. Uterine, Fetal Cerebral Doppler and Oligohydramnios to Predict Abnormal Heart Rate Tracings in Postterm Pregnancies

Uterine, Fetal Cerebral Doppler and Oligohydramnios to Predict Abnormal Heart Rate Tracings in Postterm Pregnancies Uterine, Fetal Cerebral Doppler and Oligohydramnios to Predict Abnormal Heart Rate Tracings in Postterm Pregnancies - 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, Fetal Cerebral Doppler and Oligohydramnios to Predict Abnormal Heart Rate Tracings in Postterm Pregnancies 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

2018 Clinical Trials

133. Spontaneous complete regression of large uterine fibroid after the second vaginal delivery: Case report. Full Text available with Trip Pro

knowledge, the complete regression of a large fibroid after delivery has not yet been reported.A 35-year-old gravida 1 para 0 woman was referred from a private clinic with a history of pelvic mass, adnexal mass and 19 weeks of amenorrhea.Ultrasonographic examination indicated a solid mass at the uterine fundus (12.1 × 8.3 cm) suggestive of a uterine fibroid and complex echogenic mass at the right adnexa (7.7 × 6.0 cm).Usually, cesarean sections are performed after myomectomy due to the risk for rupture (...) Spontaneous complete regression of large uterine fibroid after the second vaginal delivery: Case report. Fibroids are common, hormone-dependent, benign uterine tumors. It is estimated that they occur in 20% to 40% of women during their reproductive years. The prevalence of fibroids among pregnant women is 10.7%. Most fibroids do not increase in size during pregnancy. Pregnancy has a variable and unpredictable effect on fibroid growth. The influence of pregnancy on uterine fibroid size still

2018 Medicine

134. Magnetic resonance imaging can be useful for advanced diagnostic of the lower uterine segment in patients after previous cesarean section. Full Text available with Trip Pro

IM Female Humans Magnetic Resonance Imaging methods Pregnancy Risk Assessment Ultrasonography, Prenatal Uterine Rupture etiology prevention & control Uterus diagnostic imaging Vaginal Birth after Cesarean 2017 11 16 2018 03 05 2018 03 05 2018 3 14 6 0 2019 3 20 6 0 2018 3 14 6 0 ppublish 29532537 10.1002/uog.19046 (...) Magnetic resonance imaging can be useful for advanced diagnostic of the lower uterine segment in patients after previous cesarean section. 29532537 2019 03 19 2019 03 19 1469-0705 53 2 2019 02 Ultrasound in obstetrics & gynecology : the official journal of the International Society of Ultrasound in Obstetrics and Gynecology Ultrasound Obstet Gynecol Magnetic resonance imaging as additional diagnostic tool in assessment of lower uterine segment in women with previous Cesarean section. 270-272

2018 Ultrasound in Obstetrics and Gynecology

135. Introduction: Uterine adenomyosis, another enigmatic disease of our time. Full Text available with Trip Pro

treatment remains a matter of debate. Indeed, the risk of uterine rupture during pregnancy after adenomyomectomy is a reality. Therefore, continued research into new molecules based on the pathogenic mechanisms is vital.Copyright © 2018. Published by Elsevier Inc. (...) Introduction: Uterine adenomyosis, another enigmatic disease of our time. Like endometriosis, uterine adenomyosis is another enigmatic disease and remains a source of controversy. Uterine adenomyosis is characterized by the presence of endometrial glands in the myometrium. Two main theories may explain its pathogenesis: adenomyosis may arise from invagination of the myometrial basalis into the myometrium; or an alternative theory maintains that it may result from metaplasia of displaced

2018 Fertility and Sterility

136. Effects of Single vs Double Layer Uterine Closure on Cesarean Scar Defect and Residual Myometrium Thickness.

will be defined as niche. Symptoms such as postmenstrual bleeding and dysmenorrhea will be investigated. Due to the results which will be obtained, investigators intend to assess the effect of single or double layer closure on the formation of uterine scar defects and the risk of uterine rupture. If the investigators detect a clinically significant difference, they may reach a clinical consensus. Study Design Go to Layout table for study information Study Type : Interventional (Clinical Trial) Estimated (...) Effects of Single vs Double Layer Uterine Closure on Cesarean Scar Defect and Residual Myometrium Thickness. Effects of Single vs Double Layer Uterine Closure on Cesarean Scar Defect and Residual Myometrium Thickness. - 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

2018 Clinical Trials

137. Uterine Rupture in Pregnancy (Diagnosis)

Uterine Rupture in Pregnancy (Diagnosis) Uterine Rupture in Pregnancy: Overview, Rupture of the Unscarred Uterus, Previous Uterine Myomectomy and Uterine Rupture Edition: No Results No Results Please confirm that you would like to log out of Medscape. If you log out, you will be required to enter your username and password the next time you visit. https://profreg.medscape.com/px/getpracticeprofile.do?method=getProfessionalProfile&urlCache (...) =aHR0cHM6Ly9yZWZlcmVuY2UubWVkc2NhcGUuY29tL2FydGljbGUvMjc1ODU0LW92ZXJ2aWV3 processing > Uterine Rupture in Pregnancy Updated: Jul 05, 2018 Author: Gerard G Nahum, MD, FACOG, FACS; Chief Editor: Christine Isaacs, MD Share Email Print Feedback Close Sections Sections Uterine Rupture in Pregnancy Overview Overview Uterine rupture in pregnancy is a rare and often catastrophic complication with a high incidence of fetal and maternal morbidity. Numerous factors are known to increase the risk of uterine rupture, but even in high-risk subgroups, the overall incidence

2014 eMedicine.com

138. Uterine Rupture in Pregnancy (Treatment)

Uterine Rupture in Pregnancy (Treatment) Uterine Rupture in Pregnancy: Overview, Rupture of the Unscarred Uterus, Previous Uterine Myomectomy and Uterine Rupture Edition: No Results No Results Please confirm that you would like to log out of Medscape. If you log out, you will be required to enter your username and password the next time you visit. https://profreg.medscape.com/px/getpracticeprofile.do?method=getProfessionalProfile&urlCache (...) =aHR0cHM6Ly9yZWZlcmVuY2UubWVkc2NhcGUuY29tL2FydGljbGUvMjc1ODU0LW92ZXJ2aWV3 processing > Uterine Rupture in Pregnancy Updated: Jul 05, 2018 Author: Gerard G Nahum, MD, FACOG, FACS; Chief Editor: Christine Isaacs, MD Share Email Print Feedback Close Sections Sections Uterine Rupture in Pregnancy Overview Overview Uterine rupture in pregnancy is a rare and often catastrophic complication with a high incidence of fetal and maternal morbidity. Numerous factors are known to increase the risk of uterine rupture, but even in high-risk subgroups, the overall incidence

2014 eMedicine.com

139. Uterine Rupture in Pregnancy (Overview)

Uterine Rupture in Pregnancy (Overview) Uterine Rupture in Pregnancy: Overview, Rupture of the Unscarred Uterus, Previous Uterine Myomectomy and Uterine Rupture Edition: No Results No Results Please confirm that you would like to log out of Medscape. If you log out, you will be required to enter your username and password the next time you visit. https://profreg.medscape.com/px/getpracticeprofile.do?method=getProfessionalProfile&urlCache (...) =aHR0cHM6Ly9yZWZlcmVuY2UubWVkc2NhcGUuY29tL2FydGljbGUvMjc1ODU0LW92ZXJ2aWV3 processing > Uterine Rupture in Pregnancy Updated: Jul 05, 2018 Author: Gerard G Nahum, MD, FACOG, FACS; Chief Editor: Christine Isaacs, MD Share Email Print Feedback Close Sections Sections Uterine Rupture in Pregnancy Overview Overview Uterine rupture in pregnancy is a rare and often catastrophic complication with a high incidence of fetal and maternal morbidity. Numerous factors are known to increase the risk of uterine rupture, but even in high-risk subgroups, the overall incidence

2014 eMedicine.com

140. Uterine Rupture in Pregnancy (Follow-up)

Uterine Rupture in Pregnancy (Follow-up) Uterine Rupture in Pregnancy: Overview, Rupture of the Unscarred Uterus, Previous Uterine Myomectomy and Uterine Rupture Edition: No Results No Results Please confirm that you would like to log out of Medscape. If you log out, you will be required to enter your username and password the next time you visit. https://profreg.medscape.com/px/getpracticeprofile.do?method=getProfessionalProfile&urlCache (...) =aHR0cHM6Ly9yZWZlcmVuY2UubWVkc2NhcGUuY29tL2FydGljbGUvMjc1ODU0LW92ZXJ2aWV3 processing > Uterine Rupture in Pregnancy Updated: Jul 05, 2018 Author: Gerard G Nahum, MD, FACOG, FACS; Chief Editor: Christine Isaacs, MD Share Email Print Feedback Close Sections Sections Uterine Rupture in Pregnancy Overview Overview Uterine rupture in pregnancy is a rare and often catastrophic complication with a high incidence of fetal and maternal morbidity. Numerous factors are known to increase the risk of uterine rupture, but even in high-risk subgroups, the overall incidence

2014 eMedicine.com

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