A viable childbirth after correction of spontaneous uterine dehiscence
Year 2016,
Volume: 2 Issue: 1, 62 - 65, 04.03.2016
Tayfur Cift
,
Burcu Aydin
Pelin Ocal
,
Berk Bulut
Sennur Ilvan
Abstract
We report a case of uterine dehiscence during pregnancy. Uterine dehiscence and rupture are serious complications of pregnancy. This situation takes place especially in women that prior uterine operation(s). We represent a 30-year-old woman diagnosed uterine dehiscence at 22nd gestation week. Uterine dehiscence treated surgically and then medical treatment was given to prevent preterm labour. At 34th gestation week, the patient was operated because of preterm labour and an alive foetus was born. The result of the pathologic examination of the placenta: Placental adhesion failure was detected. In conclusion women with prior caesarean delivery (one or more), ultrasound measurement should be recommended for measuring the lower uterine segment thickness in order to predict the possibility of uterine dehiscence and rupture.
References
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Year 2016,
Volume: 2 Issue: 1, 62 - 65, 04.03.2016
Tayfur Cift
,
Burcu Aydin
Pelin Ocal
,
Berk Bulut
Sennur Ilvan
References
- Depp R. Ceserean delivery. In: Gabbe SG, Niebyl JR,Simpson JL, eds. New York: Churchill Livingstone, 2002:580.
- Turner MJ. Uterine rupture. Best Pract Res Clin Obstet Gynaecol. 2002 Feb;16(1):69-79.
- Lichtenberg ES, Frederiksen MC. Cesarean scar dehiscence as a cause of hemorrhage after second-trimester abortion by dilation and evacuation, Contraception. 2004 Jul;70(1):61-4.
- Williams: Obstetric hemorrage. In: Williams(ed): Obstetrics, 20.ed. Stamford.CT: Appleton&Longe, 1977:77.
- Dhaifalah I, Santavy J, Fingerova H. Uterine rupture during pregnancy and delivery among women attending The Al-Tthawra Hospital In Sana’a in SANA’A City Yemen Republic. Biomed Pap Med Fac Univ Palacky Olomouc Czech Repub. 2006 Nov;150(2):279-83.
- Chapman S, Crispens M, Owens J, Savage K. Complications of midtrimester pregnancy termination: the effect of prior ceserean delivery. Am J Obstet Gynecol. 1996 Oct;175 (4 Pt 1):889-92.
- Nagy PS. Placenta percreta induced uterine rupture and resulted in intraabdominal abortion. Am J Obstet Gynecol. 1989 Nov;161(5):1185-6.
- Imseis HM, Murtha AP, Alexander KA, Barnett BD. Spontaneous rupture of a primigravid uterus secondary to placenta percreata: A case report. J Reprod Med. 1998 Mar;43(3):233-6.
- Gotoh H, Masuzaki H, Yoshida A, Yoshimura S, Miyamura T, Ishimaru T. Predicting incomplete uterine rupture with vaginal sonography during the late second trimester in women with prior ceserean. Obstet Gynecol. 2000 Apr;95(4):596-600.
- Rozenberg P, Goffinet F, Philippe HJ, Nisand I. Ultrasonographic measurement of lower uterine segment to assess risk of defects of scarred uterus. Lancet. 1996 Feb 3;347(8997):281-4.