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Uterine Rupture

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141. Nitric Oxide Donor Isosorbide Mono Nitrate for Induction of Labor With Pre-labor Rupture of Membranes

: No Criteria Inclusion Criteria: Singleton pregnancy. Cephalic presentation. Bishop score < or = 6. Average size of the fetus. Adequate pelvic dimensions. Prelabour rupture of membranes. Term or post-term pregnancies with an indication for labor induction either maternal or fetal. Exclusion Criteria: Previous uterine scar (e.g. caesarian delivery or unknown uterine incision , previous hysterotomy or myomectomy of the uterine corpus involving entry of the uterine cavity or extensive myometrial dissection (...) , previous uterine rupture) Patients with regular uterine contractions. Malpresentation. Multifetal gesta1tion. Established fetal distress ( e.g. thick meconium stained liguor or non reassuring CTG changes) Indication for CS, e.g. Major degree of cephalopelvic disproportion and fetal macrosomia. Placenta previa or vasa previa. Active genital herpes infection. Severe maternal illness (e.g. severe preeclampsia). Laboratory and clinical sign of chorioamnionitis. Contacts and Locations Go to Information from

2018 Clinical Trials

142. Premature Rupture of Membranes at 34 to 37 Weeks' Gestation

Premature Rupture of Membranes at 34 to 37 Weeks' Gestation Premature Rupture of Membranes at 34 to 37 Weeks' Gestation - 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. Premature Rupture of Membranes at 34 (...) Information provided by (Responsible Party): Asmaa Abd El Sattar Ahmed, Assiut University Study Details Study Description Go to Brief Summary: Prelabour rupture of membrane is defined as rupture of membranes prior to the onset of labour. Approximately 8% of pregnant women at term experience PROM, but the decision as to how term PROM should be managed clinically remains controversial, and there is wide variation in practice with no clear consensus on what constitutes optimal treatment. Although

2018 Clinical Trials

143. 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

144. 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

145. 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

146. 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

147. 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

148. 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

149. 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

150. 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

151. Single versus double-layer uterine closure at cesarean: impact on lower uterine segment thickness at next pregnancy. Full Text available with Trip Pro

Single versus double-layer uterine closure at cesarean: impact on lower uterine segment thickness at next pregnancy. Uterine rupture is a potential life-threatening complication during a trial of labor after cesarean delivery. Single-layer closure of the uterus at cesarean delivery has been associated with an increased risk of uterine rupture compared with double-layer closure. Lower uterine segment thickness measurement by ultrasound has been used to evaluate the quality of the uterine scar (...) after cesarean delivery and is associated with the risk of uterine rupture.To estimate the impact of previous uterine closure on lower uterine segment thickness.Women with a previous single low-transverse cesarean delivery were recruited at 34-38 weeks' gestation. Transabdominal and transvaginal ultrasound evaluation of the lower uterine segment thickness was performed by a sonographer blinded to clinical data. Previous operative reports were reviewed to obtain the type of previous uterine closure

2017 American Journal of Obstetrics and Gynecology

152. Rupture of internal pudendal artery aneurysm following spontaneous vaginal delivery: An uncommon cause of post-partum bleeding Full Text available with Trip Pro

are the most common (60%), followed by hepatic (20%), superior mesenteric (5.9%), celiac (4%), ovarian, uterine, and renal (<2%) artery. Even rarer are aneurysms involving the internal iliac artery and its branches, to which there is only one published case report. In this report, we present a case of a 34-year-old pregnant gravida1 para0 who, following a normal vaginal delivery, had a severe rupture of the right internal pudendal artery and subsequently developed a massive hematoma which ultimately (...) Rupture of internal pudendal artery aneurysm following spontaneous vaginal delivery: An uncommon cause of post-partum bleeding Pregnancy-related rupture of an arterial aneurysm is an unusual occurrence associated with increased risk of morbidity and mortality. Various pregnancy-related physiologic changes appear to make pregnancy a high-risk situation for rupture of either preexisting arterial aneurysms or those that develop throughout the course of pregnancy. Splenic artery aneurysms

2016 Obstetric medicine

153. 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

154. 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

155. 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

156. 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

157. Spontaneous Uterine Rupture at 15 Weeks' Gestation in a Patient with a History of Cesarean Delivery after Removal of Shirodkar Cerclage Full Text available with Trip Pro

Spontaneous Uterine Rupture at 15 Weeks' Gestation in a Patient with a History of Cesarean Delivery after Removal of Shirodkar Cerclage A pregnant woman presented with acute upper abdominal pain and nausea at 15 weeks' gestation. She had a history of cesarean delivery for abruption after the removal of a Shirodkar cerclage that was placed because of cervical shortening caused by conization. She became pregnant again 14 months later. Ultrasonography revealed no significant findings, and a single (...) rupture with complete opening of the uterine wall at the site of the previous transverse scar was identified. A dead fetus was located within the amniotic sac in a blood-filled abdominal cavity. She received a total of 10 units of packed red blood cells and 6 units of fresh frozen plasma for the resuscitation. She was discharged on the eighth postoperative day without any complications.

2013 AJP Reports

158. Uterine rupture revisited: Predisposing factors, clinical features, management and outcomes from a tertiary care center in Turkey Full Text available with Trip Pro

Uterine rupture revisited: Predisposing factors, clinical features, management and outcomes from a tertiary care center in Turkey To determine the predisposing factors, modes of clinical presentation, management modalities and fetomaternal outcomes of uterine rupture cases at a tertiary care center in Turkey.A 14-year retrospective analysis of 61 gravid (>20 weeks of gestation) uterine rupture cases between January 1998 to March 2012 was carried out.The incidence of ruptured uteri (...) was calculated to be 0.116%. Persistence for vaginal delivery after cesarean was the most common cause of uterine rupture (31.1%). Ablatio placenta was the most common co-existent obstetric pathology (4.9%). Bleeding was the main symptom at presentation (44.3%) and complete type of uterine rupture (93.4%) was more likely to occur. Isthmus was the most vulnerable part of uterus (39.3%) for rupture. The longer the interval between rupture and surgical intervention, the longer the duration of hospitalization

2013 Pakistan Journal Of Medical Sciences

159. Uterine Rupture Due to Invasive Metastatic Gestational Trophoblastic Neoplasm Full Text available with Trip Pro

Uterine Rupture Due to Invasive Metastatic Gestational Trophoblastic Neoplasm While complete molar pregnancies are rare, they are wrought with a host of potential complications to include invasive gestational trophoblastic neoplasia. Persistent gestational trophoblastic disease following molar pregnancy is a potentially fatal complication that must be recognized early and treated aggressively for both immediate and long-term recovery. We present the case of a 21-year-old woman with abdominal (...) pain and presyncope 1 month after a molar pregnancy with a subsequent uterine rupture due to invasive gestational trophoblastic neoplasm. We will discuss the complications of molar pregnancies including the risks and management of invasive, metastatic gestational trophoblastic neoplasia.

2013 Western Journal of Emergency Medicine

160. Repair of Uterine Rupture during Second Trimester Leading to Successful Pregnancy Outcome: Case Study and Literature's Review Full Text available with Trip Pro

Repair of Uterine Rupture during Second Trimester Leading to Successful Pregnancy Outcome: Case Study and Literature's Review It was thought to be impossible to prolong the pregnancy in a case of uterine rupture in the second trimester. We encountered a case of rupture of the pregnant uterus in early mid-trimester, which we repaired with suture and overlapping of collagen fleece coated with fibrin glue, resulting in pregnancy prolongation until the 34th week. Our case and five previously (...) reported cases were reviewed. Pregnant uterine rupture in mid-trimester could be repaired with suture and overlapping of collagen fleece in the absence of placenta percreta.

2013 AJP Reports

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