Uterine rupture after previous caesarean section with hysterotomy above the lower uterine segment Prelabour uterine rupture and placenta previa
Main Article Content
Keywords
Uterine rupture, obstetric emergency, placenta previa
Abstract
ABSTRACT
Background
Spontaneous uterine rupture is a severe pregnancy complication. Several risk factors have been
described, especially for women with a previous caesarean section.
Method
We reported two cases of uterine rupture (UR) occurring outside of labour in patients with a history
of caesarean section (CS) due to placenta previa.
Results: The current study evaluates how a higher hysterotomy, combined with some risk factors,
can increase the prevalence of UR in the subsequent pregnancy.
Conclusion
This study supports that a careful evaluation of risk factors can identify patients who need a specific
follow up to early diagnose and treat UR and thus improve the maternal-fetal outcome.
Downloads
References
2)Habeš D, Střecha M, Kalousek I, Kestřánek J.Uterine rupture during pregnancy.Ceska Gynekol. 2019; 84:345-350.
3) Ronel D, Wiznitzer A, Sergienko R, Zlotnik A, Sheiner E. Trends. Risk factors and pregnancy outcome in women with uterine rupture. Arch Gynecol Obstet. 2012; 285:317-321.
4) Ofir K., Sheiner E, Levy A, Katz M. & Mazor M. Uterine rupture: risk factors and pregnancy outcome. Am. J. Obstet. Gynecol. 2003;1042–1046.
5) Lannon, S. M., Guthrie, K. A., Vanderhoeven, J. P. & Gammill, H. S. Uterine rupture risk after periviable cesarean delivery. Obstet. Gynecol.2015; 125:1095–1100. 10.1097/AOG.0000000000000832.
6) Al-Zirqi, I., Stray-Pedersen, B., Forsén, L., Daltveit, A.K., and Vangen, S.Uterine rupture:trends over 40 years. BJOG. 2016;123: 780–787.
7) Al-Zirqi I1, Daltveit AK2, Forsén L3, Stray-Pedersen B4, Vangen S.Risk factors for complete uterine rupture. Am J Obstet Gynecol. 2017; 216:165.
8) Nagao Y, Osato K, Kubo M, et al.Spontaneous uterine rupture in the 35th week of gestation after laparoscopic adenomyomectomy. Int Med Case Rep J. 2015; 17:1-4.
9)Date S, Murthy B, Magdum A.Post B-lynch uterine rupture: case report and review of literature. J Obstet Gynaecol India. 2014; 64:362-363
10) Vimercati A, Del Vecchio V, Chincoli A, Malvasi A, Cicinelli E. Uterine Rupture after Laparoscopic Myomectomy in Two Cases: Real Complication or Malpractice? Case Rep Obstet Gynecol.2017; 10.1155/2017/1404815.
11) Vogel J P et al.Use of the Robson classification to assess caesarean section trends in 21
countries: a secondary analysis of two WHO multicountry surveys. Lancet Glob Health. 2015.
3: 260-270. 10.1016/S2214-109X (15)70094-X.
12) Pavlović M, Zudenigo D, Kerner M, Mikuš M, Matak L.The management of unusual
uterine rupture: new aspects. J Obstet Gynaecol. 2020; 10.1080/01443615.2020.1786029.
13) Wu, X, Jiang, W, Xu, H, et al: Characteristics of uterine rupture after laparoscopic surgery
of the uterus: clinical analysis of 10 cases and literature review. J Int Med Res 2018;46: 3630–
3639.
14)Chao, AS, Chang, YL, Yang, LY, et al. Laparoscopic uterine surgery as a risk factor for
uterine rupture during pregnancy. PLoS One 2018;13: e0197307.
15) American College of Obstetricians and Gynecologists. ACOG Practice Bulletin no. 205.
Vaginal Birth after Cesarean Delivery. Obstet Gynecol 2019.
16) Lannon SMR, Guthrie KA, Vanderhoeven JP, Gammill HS.Uterine rupture risk after
periviable cesarean delivery. Obstet Gynecol. 2015; 125:1095–1100.
17)Chen Y, Han P, Wang YJ, Li YX. Risk factors for incomplete healing of the uterine
incision after cesarean section. Arch Gynecol Obstet. 2017; 296:355-361.
18) Brahmalakshmy BL, Kushtagi P. Variables influencing the integrity of lower uterine
segment in post-cesarean pregnancy. Arch Gynecol Obstet. 2015; 291:755–762.
19)El Refaeey, A.E.A., Abdelfattah, H., Mosbah, A. et al. Is early intervention using
Mansoura-VV uterine compression sutures an effective procedure in the management of
primary atonic postpartum hemorrhage? a prospective study.BMC Pregnancy
Childbirth. 2017; 160. 10.1186/s12884-017-1349-x.
