Uterine Rupture at Term in a Patient With Abdominal Cerclage
| Autor: | Nicole S Fanning, Lindsey P Pflugner, Monica Dandapani |
|---|---|
| Rok vydání: | 2019 |
| Předmět: |
Adult
medicine.medical_specialty Abdominal pain Diagnosis Differential 03 medical and health sciences 0302 clinical medicine Uterine Rupture Pregnancy medicine Humans 030212 general & internal medicine reproductive and urinary physiology Cerclage Cervical Fetus 030219 obstetrics & reproductive medicine business.industry Cesarean Section Infant Newborn Obstetrics and Gynecology Fetal Bradycardia medicine.disease Uterine rupture Surgery Obstetric Labor Complications medicine.anatomical_structure Gestation Abdomen Female medicine.symptom business Complication |
| Zdroj: | Obstetrics and gynecology. 133(5) |
| ISSN: | 1873-233X |
| Popis: | Background When labor ensues in the setting of transabdominal cerclage, uterine rupture is a potential complication associated with significant morbidity and mortality for both mother and fetus. Case A woman with a transabdominal cerclage presented at 39 2/7 weeks of gestation with contractions, tachycardia, abdominal pain, and fetal bradycardia. Emergent cesarean delivery revealed a ruptured uterus with fetus and placenta floating in the abdomen. Neonatal Apgar scores were 2, 2, and 5 at 1, 5, and 10 minutes of life respectively, with cord pH less than 6.8. After transfusion for the mother and rehabilitation for the neonate, both made a good recovery. Conclusion Uterine rupture can be catastrophic, and prevention is paramount. In addition to individualized delivery planning, women with transabdominal cerclage in place should be counseled to present to the hospital immediately in the presence of contractions to prevent poor outcomes. |
| Databáze: | OpenAIRE |
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