7,220 results match your criteria Uterine Rupture in Pregnancy


Spontaneous unscarred uterine rupture and surgical repair at 11 weeks of gestation in a twin pregnancy.

J Obstet Gynaecol Res 2020 Jul 8. Epub 2020 Jul 8.

Fukushima Medical Center for Children and Women, Fukushima Medical University, Fukushima, Japan.

A uterine rupture may result in a massive hemoperitoneum, which can be fatal to both the fetus and mother. Most uterine ruptures during pregnancy occur within a scarred uterus, rarely occurring in an unscarred uterus. Here, we report a very rare case of spontaneous rupture in an unscarred uterus at 11 weeks of gestation of a twin pregnancy and its surgical repair. Read More

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http://dx.doi.org/10.1111/jog.14396DOI Listing

Laparoscopic Excision of Cesarean Scar Pregnancy with Scar Revision.

J Minim Invasive Gynecol 2020 Jun 27. Epub 2020 Jun 27.

The Advanced Gynecologic Institute, Park Ridge, IL. Electronic address:

Objective: To demonstrate our technique for robotic assisted laparoscopic ectopic pregnancy excision and concomitant scar revision.

Design: We present a stepwise narrated demonstration of our primary laparoscopic technique.

Setting: Although cesarean scar pregnancy is rare, it leads to life-threatening complications and often emergent hysterectomy. Read More

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http://dx.doi.org/10.1016/j.jmig.2020.06.017DOI Listing

Successful myometrial closure over protruding Cesarean scar pregnancy.

Ultrasound Obstet Gynecol 2020 Jun 30. Epub 2020 Jun 30.

Department of Obstetrics and Gynecology, University Hospital of Essen, Hufelandstrasse 55, 45147, Essen, Germany.

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http://dx.doi.org/10.1002/uog.22135DOI Listing

Application of Tissue Engineering and Regenerative Medicine in Maternal-Fetal Medicine.

Adv Exp Med Biol 2020 ;1249:161-171

Department of obstetrics and gynecology, Seoul St. Mary's Hospital, College of Medicine, The Catholic University of Korea, Seoul, Korea.

A rapid development of ultrasonography has enabled physicians to make earlier prenatal diagnosis of various fetal congenital diseases, in maternal-fetal medicine. Due to the significant mortality and irreversible damage to fetal vital organs during pregnancy, fetal surgeries have been tried in some congenital disease including congenital diaphragmatic hernia, twin-to-twin transfusion syndrome (TTTS), myelomeningocele (MMC), and lower urinary tract obstruction. However, open fetal surgery requires laparotomy followed by hysterotomy, which can cause preterm premature rupture of membrane (pPROM), oligohydramnios, preterm delivery, dehiscence of uterine wall, and other maternal complications during pregnancy. Read More

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http://dx.doi.org/10.1007/978-981-15-3258-0_11DOI Listing
January 2020

Term prelabor rupture of membranes: Foley catheter versus dinoprostone as ripening agent.

J Gynecol Obstet Hum Reprod 2020 Jun 22:101834. Epub 2020 Jun 22.

Service de gynécologie-obstétrique, Hôpital André Grégoire, Montreuil, France.

Introduction: Term prelabor rupture of membranes (TPROM) occurs in approximately 8 % of pregnancies. This condition regularly requires medical intervention such as induction of labor. The actual data concerning cervical ripening in case of TPROM does not favor any of the available techniques. Read More

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http://dx.doi.org/10.1016/j.jogoh.2020.101834DOI Listing

Pregnancy and delivery in women with a high risk of infection in pregnancy.

J Matern Fetal Neonatal Med 2020 Jun 23:1-6. Epub 2020 Jun 23.

Federal State Funded Educational Institution for Higher Education Omsk State Medical University, Ministry of Public Health, Russian Federation.

Pregnant women with chronic genital and non-genital infections are at a high risk of infections complication during pregnancy and the postpartum period. Preterm birth is one of the leading causes of obstetric and neonatal complications and occurs in one in nine women. Forty per cent of preterm births are considered to be caused by the abnormal vaginal microbiome, and there is currently no consensus on the contribution of combined bacterial and viral infections. Read More

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http://dx.doi.org/10.1080/14767058.2020.1781810DOI Listing

Cesarean scar pregnancy - case resports and literature review.

Pol Merkur Lekarski 2020 Jun;48(285):179-183

Department of Obstetrics and Gynecology, Pomeranian Medical University in Szczecin, Poland.

The current increase in the percentage of cesarean sections is accompanied by a significant growth in the incidence of cesarean scar pregnancies (CSP) located in the lower uterine segment, while the advancements in diagnostic ultrasound techniques have led to an increased number of CSP diagnoses. A misdiagnosed cesarean scar pregnancy, or one that is diagnosed too late, is a threat to the pregnant patient's life, and predisposes her to such complications as hemorrhage or uterine rupture, which often necessitate hysterectomy and therefore result in irreversible fertility loss. In this paper 4 cases of ectopic pregnancies located within the cesarean scar in women hospitalized at the university clinical center, within a short span of merely three months in 2018, are presented. Read More

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Interstitial Pregnancy: Case Report of Atypical Ectopic Pregnancy.

Cureus 2020 May 13;12(5):e8081. Epub 2020 May 13.

Obstetrics and Gynecology, Santa Casa de Misericórdia Hospital, Sobral, BRA.

Interstitial or cornual implantation of the blastocyst is rare, accounting for 2% to 3% of ectopic pregnancies, being considered not viable. The important complications of interstitial pregnancy are uterine rupture and massive bleeding, which usually occur before 12 weeks of pregnancy. The authors report a case of a 36-year-old woman with complaints of transvaginal bleeding and abdominal pain associated with amenorrhea for seven weeks and positive beta-human chorionic gonadotropin (HCG). Read More

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http://dx.doi.org/10.7759/cureus.8081DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7292689PMC

The earlier the better or the later the better: optimal timing of fetal reduction from twins to singleton.

Ultrasound Obstet Gynecol 2020 Jun 12. Epub 2020 Jun 12.

Department of Obstetrics and Gynecology, Sheba Medical Center, Tel-Hashomer, Israel.

Objectives: The aim of this study was to compare pregnancy complications, obstetric and neonatal outcomes of twin pregnancies that were reduced to singletons at early versus later gestational age.

Methods: From January 2005 through February 2017, 248 dichorionic diamniotic twin pregnancies underwent reduction to singleton in a single tertiary referral center. Fetal reductions performed at 11-14 weeks' gestation were mainly done at the patient's request or as a result of a complicated medical or obstetric history (early reduction, n=172). Read More

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http://dx.doi.org/10.1002/uog.22119DOI Listing

The International Network of Obstetric Survey System.

Ceska Gynekol 2020 ;85(2):139-143

Objective: To informed about international surveillance network severe maternal morbidity and mortality - INOSS.

Design: Literature review.

Settings: 1st Department of Gynaecology and Obstetrics Faculty of Medicine, Comenius University and University Hospital, Bratislava, Slovak Republic. Read More

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Laparoscopic correction of isthmocele combined with ventrosuspensios of uterus.

Ceska Gynekol 2020 ;85(2):104-110

Objective: To describe a case history of a patient after two caesarean sections, planning another pregnancy. Due to the dehiscent lower uterine segment, surgical correction of the defect was performed. Performance followed by an unplanned pregnancy five weeks after the operation. Read More

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A comparison of the pregnancy outcomes between ultrasound-guided high-intensity focused ultrasound ablation and laparoscopic myomectomy for uterine fibroids: a comparative study.

Int J Hyperthermia 2020 ;37(1):617-623

Department of Obstetrics and Gynecology, The First Affiliated Hospital of Chongqing Medical University, Chongqing, PR China.

To compare the pregnancy outcomes between ultrasound-guided high-intensity focused ultrasound (USgHIFU) ablation and laparoscopic myomectomy (LM). This study included 676 women with symptomatic uterine fibroids who wished to become pregnant underwent USgHIFU or LM at three hospitals in China from 1 May 2009 to 31 May 2018. The related information of pregnancy and delivery were followed up and analyzed using the chi-square test and two-sided Student t-test. Read More

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http://dx.doi.org/10.1080/02656736.2020.1774081DOI Listing
January 2020

Management of Traumatic Uterine Rupture in Blunt Abdominal Trauma: A Case Report and Literature Review.

Cureus 2020 Jun 1;12(6):e8396. Epub 2020 Jun 1.

Emergency Medicine, Arrowhead Regional Medical Center, Colton, USA.

A 27-year-old female with an 18-week pregnancy was involved in a high impact motor vehicle accident due to which she suffered a uterine rupture secondary to blunt abdominal trauma. Traumatic uterine rupture may result from blunt abdominal traumas such as those that occur during motor vehicle accidents. Prompt diagnosis is necessary to treat this complication given its quick onset and progression, and prevent potential life-threatening complications to mother and fetus. Read More

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http://dx.doi.org/10.7759/cureus.8396DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7273360PMC

Cesarean Scar Ectopic Pregnancy: The Lurking Danger in Post Cesarean Failed Medical Abortion.

J Family Reprod Health 2019 Dec;13(4):223-227

Department of Obstetrics and Gynecology, AIIMS Patna, Patna, India.

Cesarean scar pregnancy (CSP) is a potentially life threatening ectopic pregnancy where a missed diagnosis is commoner than an accurate diagnosis. Incidence of Ectopic pregnancy is 1 - 2 % and cesarean scar ectopic occurs in about (0.05%) 1 in 2000 of all pregnancies. Read More

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http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7264869PMC
December 2019

Misoprostol complications in second-trimester termination of pregnancy among women with a history of more than one cesarean section.

Obstet Gynecol Sci 2020 May 21;63(3):323-329. Epub 2020 Apr 21.

Department of Obstetrics and Gynecology, Mahdiyeh Hospital, Shahid Beheshti University of Medical Sciences, Tehran, Iran.

Objective: This study aims to investigate the complications due to misoprostol administration for second-trimester termination of pregnancy among women with history of 2 or more cesarean scarring.

Methods: The cohort of this retrospective study included 678 subjects who required second-trimester pregnancy termination, from 2013 to 2015 and treated with vaginal misoprostol of 100 to 400 µg. The subjects were divided into 3 groups based on their history of cesarean sections: without a history of cesarean section, with a history of one cesarean section, and with a history of more than one cesarean section and uterine scaring. Read More

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http://dx.doi.org/10.5468/ogs.2020.63.3.323DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7231932PMC

Local intra-gestational sac methotrexate injection followed by dilation and curettage in treating cesarean scar pregnancy.

Arch Gynecol Obstet 2020 Aug 30;302(2):439-445. Epub 2020 May 30.

Department of Obstetrics and Gynecology, Maternal and Child Hospital of Guangxi Zhuang Autonomous Region, Nanning, 530003, China.

Purpose: To assess the safety and efficacy of local intra-gestational sac methotrexate injection followed by dilation and curettage (D&C) in treating cesarean scar pregnancies (CSP).

Method: Medical records of CSP patients treated with local intra-gestational sac methotrexate injection followed by dilation and curettage were analyzed at the Maternal and Child Hospital of Guangxi Zhuang Autonomous Region, China.

Results: Thirty-one patients were included in this study. Read More

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http://dx.doi.org/10.1007/s00404-020-05619-xDOI Listing

Validity Of Transabdominal Ultrasound Scan In The Prediction Of Uterine Scar Thickness.

J Ayub Med Coll Abbottabad 2020 Jan- Mar;32(1):68-72

Department of Gynaecology, Ayub Teaching Hospital, Abbottabad, Pakistan.

Background: Caesarean section rate is increasing throughout the world, which increases the risk of complications in subsequent pregnancy with increased maternal and foetal morbidity and mortality. There is risk of uterine rupture in subsequent pregnancy with trial of labour after caesarean section (TOLAC). Therefore, accurate prediction of uterine rupture can be of significant value during the management of subsequent pregnancies after previous caesarean delivery. Read More

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Magnetic resonance imaging of the female pelvis after Cesarean section: a pictorial review.

Insights Imaging 2020 May 27;11(1):75. Epub 2020 May 27.

Department of Diagnostic Imaging, Institute of Mother and Child, Kasprzaka 17a, 01-211, Warsaw, Poland.

The rate of Cesarean sections (C-sections) in Poland increased from 21.7% in 2001 to 43.85% in 2017 even though the Polish Society of Gynecologists and Obstetricians highlights the negative consequences of C-section for both mother and child and recommends to make every possible effort to reduce its percentage, following the World Health Organization recommendations. Read More

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http://dx.doi.org/10.1186/s13244-020-00876-5DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7253593PMC

Interstitial Pregnancy in the Third Trimester with Severe Preeclampsia: A Case Report and Literature Review.

Case Rep Obstet Gynecol 2020 12;2020:9408501. Epub 2020 May 12.

Department of Obstetrics and Gynecology, Jichi Medical University, Japan.

An interstitial pregnancy that continues beyond the second trimester is a rare phenomenon. We report a patient with an interstitial pregnancy undiagnosed until the third trimester. A multiparous woman was referred to us because of preeclampsia at 26 weeks of gestation. Read More

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http://dx.doi.org/10.1155/2020/9408501DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7240790PMC

Ectopic pregnancies in caesarean section scars: 5 years experience.

Clin Imaging 2020 May 3;66:26-34. Epub 2020 May 3.

Undergraduate, Faculty of Medicine, Kasr Alainy, Cairo University, Egypt.

Purpose: The aim of the study is to evaluate our 5 years experience in diagnosis and treatment of ectopic pregnancy developing in a Caesarean section scar.

Subjects & Methods: The study included twenty-one women, diagnosed with a Caesarean scar ectopic pregnancy (CSEP) in the first trimester, which was confirmed by ultrasound and treated in our hospital during 5 years between 2012 and 2016. The clinical presentations, imaging findings, and treatment outcomes of all these pregnancies were recorded. Read More

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http://dx.doi.org/10.1016/j.clinimag.2020.04.037DOI Listing

Cervical length surveillance for predicting spontaneous preterm birth in women with uterine anomalies: A cohort study.

Acta Obstet Gynecol Scand 2020 May 21. Epub 2020 May 21.

Pregnancy Research Centre, Department of Maternal Fetal Medicine, The Royal Women's Hospital, Parkville, VIC, Australia.

Introduction: Uterine anomalies occur in an estimated 5% of women and have been shown to confer a higher risk of spontaneous preterm birth (SPTB). A sonographically short cervix (<25 mm) is a risk indicator for SPTB, although its predictive utility has been little studied in this specific high-risk population. We aimed to assess the pregnancy outcomes and predictive ability of short cervix in a cohort of women with uterine anomalies attending a high-risk antenatal clinic. Read More

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http://dx.doi.org/10.1111/aogs.13923DOI Listing

Spontaneous rupture of an unscarred uterus with an intact amniotic sac extrusion and fetal leg entrapment at 28 gestational weeks: a case report.

Gland Surg 2020 Apr;9(2):459-462

Department of Obstetrics and Gynecology, The Second Hospital of Jilin University, Changchun 130041, China.

The spontaneous rupture of an unscarred uterus at 28 gestational weeks is an extremely rare event, particularly when associated with an intact amniotic sac extrusion and fetal leg entrapment, which has not been previously reported. A 27-year-old primigravid woman was referred to our department, due to perpetual abdominal pain, at 28 weeks and 5 days of gestation. The patient, G3p0, had previously undergone two induced abortions. Read More

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http://dx.doi.org/10.21037/gs.2020.02.16DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7225479PMC

Surgical management of first-trimester bleeding in a heterotopic caesarean scar pregnancy: A case report and review of literature.

Case Rep Womens Health 2020 Jul 24;27:e00209. Epub 2020 Apr 24.

Royal Prince Alfred Hospital, 50 Missenden Road, Camperdown, Sydney, NSW, Australia.

Heterotopic caesarean scar pregnancy (HCSP) is very rare, with only 24 cases reported in the literature. Optimal management is yet to be determined. We describe a 38-year-old woman, G2P1, who presented with vaginal bleeding and haemodynamic instability at 9 weeks of gestation in a HCSP. Read More

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http://dx.doi.org/10.1016/j.crwh.2020.e00209DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7217994PMC

Reproductive outcome after cesarean scar pregnancy: A systematic review and meta-analysis.

Acta Obstet Gynecol Scand 2020 May 18. Epub 2020 May 18.

Center for High Risk Pregnancy and Fetal Care, Department of Obstetrics and Gynecology, University of Chieti, Chieti, Italy.

Introduction: To evaluate subsequent reproductive among women with a prior cesarean scar pregnancy (CSP).

Material And Methods: MEDLINE, Embase and ClinicalTrials.gov databases were searched. Read More

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http://dx.doi.org/10.1111/aogs.13918DOI Listing
May 2020
1.985 Impact Factor

Treatment strategy for failed repair of uterine rupture: Cleansing an abscess via the cervical Canal.

J Obstet Gynaecol Res 2020 Jul 14;46(7):1207-1210. Epub 2020 May 14.

Department of Obstetrics and Gynecology, Takatsuki General Hospital, Osaka, Japan.

We present a new, conservative treatment strategy for the cases in which an initial repair surgery of uterine rupture failed. In a case presented here, the patient underwent a repair surgery for the uterine rupture that became apparent 4 days after the cesarean delivery, but a part of the wound did not heal and an abscess formed in the surrounding area. The patient had purulent discharge from vagina, which led us to try to insert a Nelaton tube from vagina via cervical canal and to cleanse the abscess cavity. Read More

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http://dx.doi.org/10.1111/jog.14265DOI Listing

Term cesarean breech delivery in the first pregnancy is associated with an increased risk for maternal and neonatal morbidity in the subsequent delivery: a national cohort study.

Arch Gynecol Obstet 2020 Jul 14;302(1):85-91. Epub 2020 May 14.

Department of Obstetrics and Gynecology, University Hospital Marburg, Marburg, Germany.

Purpose: To determine whether there is an association between term cesarean breech delivery in the first pregnancy and maternal and neonatal morbidities in the subsequent pregnancy and delivery.

Methods: We conducted a retrospective, nationwide Finnish population-based cohort study, including all deliveries from January 2000 to December 2017. We included all women with the first two consecutive singleton deliveries of which the first one was a breech delivery regardless of mode of delivery (n = 11,953), and constructed a data set in which the first two deliveries for these women were connected. Read More

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http://dx.doi.org/10.1007/s00404-020-05575-6DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7266798PMC
July 2020
1.279 Impact Factor

Diffuse Leiomyomatosis: Complete Myomectomy for Innumerable Small Nodules to Achieve Fertility Sparing and Childbearing.

Authors:
Ikuo Konishi

Surg J (N Y) 2020 May 29;6(Suppl 1):S50-S57. Epub 2019 Aug 29.

National Hospital Organization, Kyoto Medical Center, Kyoto, Japan.

Diffuse leiomyomatosis is a rare condition among benign smooth muscle neoplasms of the uterus, being defined as innumerable small myomatous nodules that mainly occur in the submucosal area. Young women with this disease suffer from menorrhagia, pains, and infertility. It is essential to perform extensive myomectomy after opening the endometrial cavity by a deep, median, longitudinal incision of the uterine corpus, followed by careful suture and reconstruction of the uterus for fertility spearing and childbearing in young women with this disease. Read More

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http://dx.doi.org/10.1055/s-0039-1693709DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7214083PMC

Differentiating pregnancies near the uterotubal junction (angular, cornual, and interstitial): a review and recommendations.

Fertil Res Pract 2020 4;6. Epub 2020 May 4.

Department of Obstetrics, Gynecology and Women's Health, MU Institute for Women's Health Research, University of Missouri School of Medicine, 500 North Keene Street, Columbia, MO 65201 USA.

Eccentrically located intracavitary pregnancies, which include pregnancies traditionally termed as cornual and/or angular, have long presented complex diagnostic and management challenges given their inherent relationship to interstitial ectopic pregnancies. This review uses the existing literature to discriminate among interstitial, cornual, and angular pregnancies. Current arguments propose the outright abandonment of the terms cornual and angular may be justified in favor of the singular term, eccentric pregnancy. Read More

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http://dx.doi.org/10.1186/s40738-020-00077-0DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7199330PMC

Uterine artery pseudoaneurysm and embolisation during pregnancy.

BMJ Case Rep 2020 May 7;13(5). Epub 2020 May 7.

Department of Obstetrics and Gynecology, University of South Florida Morsani College of Medicine, Tampa, Florida, USA.

Uterine artery pseudoaneurysm in pregnancy is a dangerous condition as rupture can be catastrophic due to the large volume of uterine blood flow. We present a case of a healthy, young woman with a desired pregnancy at 15 weeks of gestation incidentally discovered to have a pseudoaneurysm of the uterine artery during a routine prenatal ultrasound. She underwent initial thrombin injection followed by endovascular coil embolisation of the left uterine artery and carried the pregnancy to term without further complications. Read More

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http://dx.doi.org/10.1136/bcr-2019-234058DOI Listing

The role of mammalian foetal membranes in early embryogenesis: Lessons from marsupials.

Authors:
Anthony M Carter

J Morphol 2020 May 6. Epub 2020 May 6.

Cardiovascular and Renal Research, Institute of Molecular Medicine, University of Southern Denmark, Odense, Denmark.

Across mammals, early embryonic development is supported by uterine secretions taken up through the yolk sac and other foetal membranes (histotrophic nutrition). The marsupial conceptus is enclosed in a shell coat for the first two-thirds of gestation and nutrients pass to the embryo through the shell and the avascular bilaminar yolk sac. At around the time of shell rupture, part of the yolk sac is trilaminar and supplied with blood vessels. Read More

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http://dx.doi.org/10.1002/jmor.21140DOI Listing

Pregnancy outcomes associated with chorioamnion membrane separation severity following fetoscopic laser surgery for twin-twin transfusion syndrome.

Prenat Diagn 2020 May 2. Epub 2020 May 2.

Department of Obstetrics, Gynecology and Reproductive Sciences, The Fetal Center, Children's Memorial Hermann Hospital, UTHealth, McGovern School of Medicine, University of Texas, Houston, Texas, USA.

Objective: We tested the hypothesis that increasing severity of chorioamnion membrane separation (CAS) after fetoscopic laser surgery (FLS) for twin-twin transfusion syndrome (TTTS) is associated with worse pregnancy outcomes.

Methods: Prospective cohort of patients undergoing FLS for TTTS between 2011 and 2018. CAS was defined as separation of fetal membranes from the uterine wall on post-operative ultrasound. Read More

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http://dx.doi.org/10.1002/pd.5725DOI Listing

Spontaneous Intraoperative Rupture of a Large Interstitial Pregnancy: Laparoscopic Management.

Case Rep Obstet Gynecol 2020 14;2020:5626783. Epub 2020 Apr 14.

Tertiary Referral Center of Gynecological Laparoscopy, Lefkos Stavros Hospital, Athens, Greece.

We present a case of a large interstitial pregnancy which was intraoperatively ruptured, but was eventually laparoscopically treated. The patient experienced 9 weeks of amenorrhea, and a right cornual pregnancy measuring 6 cm was diagnosed. The patient consented on having a minimal surgical treatment, and a laparoscopic right cornuotomy was decided. Read More

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http://dx.doi.org/10.1155/2020/5626783DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7178462PMC

Outcome of uterine rupture and associated factors in Yirgalem general and teaching hospital, southern Ethiopia: a cross-sectional study.

BMC Pregnancy Childbirth 2020 Apr 28;20(1):256. Epub 2020 Apr 28.

School of Public Health, College of Medicine and Health Science, Hawassa University, P.O. Box 1466, Hawassa, Ethiopia.

Background: The occurrence of uterine rupture has dropped significantly in high income countries. It continues, however, to be a major public and clinical health problem in low income countries including Ethiopia. Aim of this study was to assess management outcomes of uterine rupture and associated factors in Yirgalem General and Teaching Hospital in South Ethiopia. Read More

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http://dx.doi.org/10.1186/s12884-020-02950-8DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7189562PMC

First Trimester Uterine Rupture: A Case Report and Literature Review.

Int J Environ Res Public Health 2020 04 24;17(8). Epub 2020 Apr 24.

Department of Gynecology and Obstetrics, School of Medicine of Udine, 33100 Udine, Italy.

The aim is to report a case of spontaneous uterine rupture in the first trimester of pregnancy and to review the literature on the topic.

Methods: A literature search was performed using PubMed and Scopus. Relevant English articles were identified without any time or study limitations. Read More

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http://dx.doi.org/10.3390/ijerph17082976DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7215710PMC

Pregnancies after vaginal radical trachelectomy (RT) in patients with early invasive uterine cervical cancer: results from a single institute.

BMC Pregnancy Childbirth 2020 Apr 25;20(1):248. Epub 2020 Apr 25.

Department of Obstetrics and Gynecology, Sapporo Medical University, S1, W16, Chuou-ku, Sapporo, Hokkaido, 0608543, Japan.

Background: Radical tracheletomy (RT) with pelvic lymphadenectomy has become an option for young patients with early invasive uterine cervical cancer who desire to maintain their fertility. However, this operative method entails a high risk for the following pregnancy due to its radicality.

Methods: We have performed vaginal RT for 71 patients and have experienced 28 pregnancies in 21 patients. Read More

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http://dx.doi.org/10.1186/s12884-020-02949-1DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7183613PMC

Incidental myomectomy at time of vaginal delivery contributing to postpartum hemorrhage: A case report and review of the literature.

J Gynecol Obstet Hum Reprod 2020 Apr 20:101776. Epub 2020 Apr 20.

Department of Obstetrics and Gynecology, Division of Urogynecology, Walter Reed National Military Medical Center, Bethesda, MD, United States. Electronic address:

Background: Uterine leiomyoma are implicated in certain adverse pregnancy related outcomes such as postpartum hemorrhage. Large submucosal leiomyoma defined as greater than 5 cm, may have higher complication rates; however, high quality data is limited.

Case: A 44-year-old gravida 4 with history of two full-term vaginal deliveries presented at 40 and 2/7 weeks of gestation with premature rupture of membranes and delivered vaginally a viable female infant complicated by a postpartum hemorrhage due to uterine atony. Read More

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http://dx.doi.org/10.1016/j.jogoh.2020.101776DOI Listing

Uterine didelphys with dicavitary twin gestation: A case report.

Case Rep Womens Health 2020 Jul 3;27:e00199. Epub 2020 Apr 3.

Department of Obstetrics and Gynaecology, Nepean Hospital, Penrith, Australia.

Uterine didelphys is a rare type of congenital uterine anomaly resulting from incomplete fusion of the paramesonephric ducts during embryogenesis. We report the case of a 27-year-old multiparous woman who presented with ovulation-induced dicavitary dichorionic diamniotic twins in known uterine didelphys. At 29 + 5 weeks of gestation, the patient had preterm prelabour rupture of membranes followed by threatened preterm labour in the right uterus only, which settled with tocolysis. Read More

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http://dx.doi.org/10.1016/j.crwh.2020.e00199DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7163069PMC

Spontaneous Uterine Rupture Secondary to Morbidly Adherent Placenta in an Unscarred Uterus.

Cureus 2020 Mar 15;12(3):e7281. Epub 2020 Mar 15.

Radiology, Aga Khan University Hospital, Karachi, PAK.

We report a case of spontaneous uterine rupture in a primigravida with an unscarred uterus, which was secondary to morbidly adherent placenta proven on surgery and histology. Although rare, uterine rupture should be considered as a differential diagnosis of acute abdominal pain in pregnancies, especially when associated with free fluid, even with the absence of vaginal bleeding. Abnormal placentation is associated with spontaneous antepartum uterine rupture even in early pregnancy. Read More

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http://dx.doi.org/10.7759/cureus.7281DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7158604PMC

Association between apgar score at 5 minutes and adverse outcomes among Low-Risk pregnancies.

J Matern Fetal Neonatal Med 2020 Apr 16:1-8. Epub 2020 Apr 16.

Department of Obstetrics, Gynecology, and Reproductive Sciences, McGovern Medical School, The University of Texas Health Science Center at Houston, Houston, TX, USA.

Among low-risk pregnancies, we aimed to ascertain the association between 5-minute Apgar score and adverse outcomes of newborn-maternal dyad. We conducted a retrospective cohort study using the U.S. Read More

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http://dx.doi.org/10.1080/14767058.2020.1754789DOI Listing

[The clinical efficacy of laparoscopic cornuotomy on interstitial tubal pregnancy which diameter was shorter than 3 cm].

Zhonghua Yi Xue Za Zhi 2020 Apr;100(14):1077-1080

Department of Obstetrics and Gynecology, Sir Run Run Shaw Hospital, Zhejiang University School of Medicine, Hangzhou 310000, China.

To investigate the clinical efficacy of Laparoscopic cornuotomy on Interstitial Tubal Pregnancy (IP) which diameter was shorter than 3 cm. The women who had IP under 3 cm diameter were selected from January, 2016 to December, 2018 at the Department of Gynecology, JiaXing Maternity and Child Health care Hospital. A total of 32 IP patients were divided into two groups. Read More

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http://dx.doi.org/10.3760/cma.j.cn112137-20191122-02547DOI Listing

Use of balloon tamponade in management of vaginal laceration and its possible complication of urinary stress incontinence: a case report.

BMC Pregnancy Childbirth 2020 Apr 15;20(1):214. Epub 2020 Apr 15.

Department of Obstetrics and Gynaecology, United Christian Hospital, 130 Hip Wo Street, Kwun Tong, Hong Kong SAR.

Background: Postpartum haemorrhage from vaginal lacerations can occasionally be refractory to suturing and vaginal packing. Bakri uterine balloon has been widely adopted to stop uterine bleeding, but its use to stop bleeding in vaginal lacerations and its possible complications have seldom been reported.

Case Presentation: We report a patient who had vacuum delivery for fetal distress and subsequently had postpartum hemorrhage due to previous caesarean uterine scar rupture and multiple vaginal lacerations. Read More

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http://dx.doi.org/10.1186/s12884-020-02885-0DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7161190PMC

Single layer suturing in intracapsular myomectomy of intramural myomas is sufficient for a normal wound healing.

Eur J Obstet Gynecol Reprod Biol 2020 May 19;248:204-210. Epub 2020 Mar 19.

IAKENTRO, Infertility Treatment Center, Thessaloniki, Greece.

Study Objective: To evaluate surgical outcomes of intracapsular single-layer myomectomy in terms of efficacy and safety as well as examine potential alterations based on kind of surgical approach.

Methods: A prospective observational study was performed between January 2010 and December 2018. Women in reproductive age, affected by intramural or subserous myomas (FIGO type 3-6) of 4-14 cm diameter were enrolled. Read More

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http://dx.doi.org/10.1016/j.ejogrb.2020.03.042DOI Listing

Alterations in endogenous progesterone metabolism associated with spontaneous very preterm delivery.

Hum Reprod Open 2020 6;2020(2):hoaa007. Epub 2020 Apr 6.

Division of Clinical Pharmacology, Department of Medicine, Indiana University School of Medicine, Indianapolis, IN, USA.

Study Question: Do maternal serum levels of progesterone metabolites early in pregnancy correspond to an increased risk for very preterm delivery prior to 32 weeks?

Summary Answer: Maternal serum levels of 11-deoxycorticosterone (DOC) measured during the late first trimester or early second trimester correlate with an increased risk for preterm delivery prior to 32 weeks, and the correlation becomes stronger when the ratio of DOC to 16-alpha-hydroxyprogesterone was measured.

What Is Known Already: Progesterone is a pro-gestational steroid hormone that has been shown to decrease the risk of preterm birth in some pregnant women. Progesterone is metabolized by the body into various metabolites including members of the mineralocorticoid and glucocorticoid families. Read More

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http://dx.doi.org/10.1093/hropen/hoaa007DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7133115PMC

Prevalence, outcomes and associated factors of labor induction among women delivered at public hospitals of MEKELLE town-(a hospital based cross sectional study).

BMC Pregnancy Childbirth 2020 Apr 9;20(1):203. Epub 2020 Apr 9.

Global Health and Development, Head, MARCH Research Center and School of Public Health, College of Health Sciences, Mekelle University, Mekelle, Tigray, Ethiopia.

Background: Induction of labor refers to iatrogenic stimulation of uterine contractions before the onset of spontaneous labor as a therapeutic option when benefits of expeditious delivery outweigh the risks of continuing the pregnancy. This research was to study the prevalence, outcomes and associated factors of labor induction among women delivered at Ayder comprehensive specialized hospital and Mekelle general hospital in Mekelle town, Tigray, North Ethiopia.

Methods: A hospital based cross sectional study was conducted on 346 laboring mothers who delivered after induction of labor, from January 1st, to July 31st, 2017. Read More

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http://dx.doi.org/10.1186/s12884-020-02862-7DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7147044PMC

Pregnancy-associated Inflammatory Myofibroblastic Tumors of the Uterus Are Clinically Distinct and Highly Enriched for TIMP3-ALK and THBS1-ALK Fusions.

Am J Surg Pathol 2020 Jul;44(7):970-981

Department of Pathology, Stanford University School of Medicine, Stanford, CA.

As inflammatory myofibroblastic tumors (IMTs) have become more widely recognized in the female genital tract, an intriguing subset of uterine tumors associated with pregnancy has emerged. Whether uterine IMTs occurring in the setting of pregnancy are clinically or biologically distinct from other uterine IMTs is unknown. Furthermore, little is known about the perinatal factors that may influence the development of these tumors. Read More

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http://dx.doi.org/10.1097/PAS.0000000000001481DOI Listing

Rupture of Non-communicating Rudimentary Horn of Uterus at 12 Weeks' Gestation.

Cureus 2020 Mar 6;12(3):e7191. Epub 2020 Mar 6.

Obstetrics and Gynecology, Centre Hospitalier Universitaire de Nantes, Nantes, FRA.

The rudimentary horn of uterus is an extremely rare malformation and potentially serious obstetric entity, threatening maternal and fetal outcome. Diagnostic sonography of early pregnancy in a non-communicating rudimentary horn is difficult but important. We report a case of ruptured non-communicating rudimentary horn with unicornuate uterus at 12 weeks' gestation, where diagnosis is made before surgery. Read More

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http://dx.doi.org/10.7759/cureus.7191DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7135721PMC

First-Trimester Prediction of Preterm Prelabour Rupture of Membranes.

Fetal Diagn Ther 2020 Apr 8:1-6. Epub 2020 Apr 8.

Sydney Institute for Women, Children and their Families, Royal Prince Alfred Hospital, Sydney, New South Wales, Australia.

Background: Preterm prelabour rupture of membranes (PPRoM) is commonly associated with preterm delivery and affects up to 3% of all pregnancies. It is associated with high rates of morbidity and mortality for the mother and the newborn.

Objectives: To identify risk factors for PPRoM and develop a model for first-trimester prediction of risk of PPRoM. Read More

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http://dx.doi.org/10.1159/000506541DOI Listing