Uterine rupture during second trimester abortion with misoprostol
| Autor: | Tolga Mizrak, Umit Nayki, Gülsen Derin, Cüneyt Eftal Taner, Cenk Nayki |
|---|---|
| Rok vydání: | 2004 |
| Předmět: |
Adult
Embryology medicine.medical_specialty Uterus Prenatal diagnosis Abortion Uterine contraction Cicatrix Uterine Contraction Uterine Rupture Pregnancy medicine Humans Radiology Nuclear Medicine and imaging Misoprostol Gynecology Abortifacient Agents Nonsteroidal Obstetrics business.industry Cesarean Section Obstetrics and Gynecology Abortion Induced General Medicine medicine.disease Uterine rupture medicine.anatomical_structure In utero Pregnancy Trimester Second Pediatrics Perinatology and Child Health Female medicine.symptom business medicine.drug |
| Zdroj: | Fetal diagnosis and therapy. 20(5) |
| ISSN: | 1015-3837 |
| Popis: | Background: Data are limited regarding the use of misoprostol in the midtrimester, therefore few cases with uterine rupture during the second trimester with a previous uterine scar have been reported in the literature. Case Report: A 23-year-old woman with a prior low transverse cesarean section presented at 26 weeks’ gestation for pregnancy termination for a fetal abnormality. She was given 200 µg misoprostol intravaginally every 3 h until regular contractions began. After the fourth dose, she had vaginal bleeding and severe contractions. She aborted completely 2 h later after the last dose. Uterine rupture was diagnosed at the previous cesarean section scar by manual vaginal examination. She underwent emergency laparotomy and the uterus was repaired. Conclusion: Misoprostol use in the second trimester in a woman with a uterine scar can trigger severe contractions that can lead to uterine rupture. |
| Databáze: | OpenAIRE |
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