Posterior Uterine Rupture Causing Fetal Expulsion into the Abdominal Cavity: A Rare Case of Neonatal Survival
Introduction. Uterine rupture is a potentially catastrophic complication of vaginal birth after caesarean section. We describe the sixth case of posterior uterine rupture, with intact lower segment scar, and the first neonatal survival after expulsion into the abdominal cavity with posterior rupture...
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| Format: | Article |
| Language: | English |
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Wiley
2011-01-01
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| Series: | Case Reports in Obstetrics and Gynecology |
| Online Access: | http://dx.doi.org/10.1155/2011/426127 |
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| author | K. Navaratnam P. Ulaganathan M. A. Akhtar S. D. Sharma M. G. Davies |
| author_facet | K. Navaratnam P. Ulaganathan M. A. Akhtar S. D. Sharma M. G. Davies |
| author_sort | K. Navaratnam |
| collection | DOAJ |
| description | Introduction. Uterine rupture is a potentially catastrophic complication of vaginal birth after caesarean section. We describe the sixth case of posterior uterine rupture, with intact lower segment scar, and the first neonatal survival after expulsion into the abdominal cavity with posterior rupture. Case Presentation. A multiparous woman underwent prostaglandin induction of labour for postmaturity, after one previous caesarean section. Emergency caesarean section for bradycardia revealed a complete posterior uterine rupture, with fetal and placental expulsion. Upon delivery, the baby required inflation breaths only. The patient required a subtotal hysterectomy but returned home on day 5 postnatally with her healthy baby. Discussion. Vaginal birth after caesarean section constitutes a trial of labour, and the obstetrician must be reactive to labour events. Posterior uterine rupture is extremely rare and may occur without conventional signs. Good maternal and fetal outcome is possible with a prompt, coordinated team response. |
| format | Article |
| id | doaj-art-12af8289d1cc4e0391807a069e9fcd42 |
| institution | Kabale University |
| issn | 2090-6684 2090-6692 |
| language | English |
| publishDate | 2011-01-01 |
| publisher | Wiley |
| record_format | Article |
| series | Case Reports in Obstetrics and Gynecology |
| spelling | doaj-art-12af8289d1cc4e0391807a069e9fcd422025-02-03T05:51:28ZengWileyCase Reports in Obstetrics and Gynecology2090-66842090-66922011-01-01201110.1155/2011/426127426127Posterior Uterine Rupture Causing Fetal Expulsion into the Abdominal Cavity: A Rare Case of Neonatal SurvivalK. Navaratnam0P. Ulaganathan1M. A. Akhtar2S. D. Sharma3M. G. Davies4Southport and Ormskirk Hospital, NHS Trust, Town Lane, Kew, Southport, Merseyside PR8 6PN, UKSouthport and Ormskirk Hospital, NHS Trust, Town Lane, Kew, Southport, Merseyside PR8 6PN, UKSouthport and Ormskirk Hospital, NHS Trust, Town Lane, Kew, Southport, Merseyside PR8 6PN, UKSouthport and Ormskirk Hospital, NHS Trust, Town Lane, Kew, Southport, Merseyside PR8 6PN, UKSouthport and Ormskirk Hospital, NHS Trust, Town Lane, Kew, Southport, Merseyside PR8 6PN, UKIntroduction. Uterine rupture is a potentially catastrophic complication of vaginal birth after caesarean section. We describe the sixth case of posterior uterine rupture, with intact lower segment scar, and the first neonatal survival after expulsion into the abdominal cavity with posterior rupture. Case Presentation. A multiparous woman underwent prostaglandin induction of labour for postmaturity, after one previous caesarean section. Emergency caesarean section for bradycardia revealed a complete posterior uterine rupture, with fetal and placental expulsion. Upon delivery, the baby required inflation breaths only. The patient required a subtotal hysterectomy but returned home on day 5 postnatally with her healthy baby. Discussion. Vaginal birth after caesarean section constitutes a trial of labour, and the obstetrician must be reactive to labour events. Posterior uterine rupture is extremely rare and may occur without conventional signs. Good maternal and fetal outcome is possible with a prompt, coordinated team response.http://dx.doi.org/10.1155/2011/426127 |
| spellingShingle | K. Navaratnam P. Ulaganathan M. A. Akhtar S. D. Sharma M. G. Davies Posterior Uterine Rupture Causing Fetal Expulsion into the Abdominal Cavity: A Rare Case of Neonatal Survival Case Reports in Obstetrics and Gynecology |
| title | Posterior Uterine Rupture Causing Fetal Expulsion into the Abdominal Cavity: A Rare Case of Neonatal Survival |
| title_full | Posterior Uterine Rupture Causing Fetal Expulsion into the Abdominal Cavity: A Rare Case of Neonatal Survival |
| title_fullStr | Posterior Uterine Rupture Causing Fetal Expulsion into the Abdominal Cavity: A Rare Case of Neonatal Survival |
| title_full_unstemmed | Posterior Uterine Rupture Causing Fetal Expulsion into the Abdominal Cavity: A Rare Case of Neonatal Survival |
| title_short | Posterior Uterine Rupture Causing Fetal Expulsion into the Abdominal Cavity: A Rare Case of Neonatal Survival |
| title_sort | posterior uterine rupture causing fetal expulsion into the abdominal cavity a rare case of neonatal survival |
| url | http://dx.doi.org/10.1155/2011/426127 |
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