Uterine rupture after previous caesarean section with hysterotomy above the lower uterine segment Prelabour uterine rupture and placenta previa

Main Article Content

Miriam Dellino
Francesco Maria Crupano
Xuemin He
Antonio Malvasi
Antonella Vimercati

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.

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