6,900 results match your criteria Uterine Rupture in Pregnancy


Monitoring quality of obstetric care from hospital discharge databases: A Delphi survey to propose a new set of indicators based on maternal health outcomes.

PLoS One 2019 12;14(2):e0211955. Epub 2019 Feb 12.

Inserm UMR 1153, Obstetrical, Perinatal and Pediatric Epidemiology Research Team (Epopé) Center for Epidemiology and Statistics Sorbonne Paris Cité, DHU Risks in pregnancy, Paris Descartes University, Paris, France.

Objectives: Most indicators proposed for assessing quality of care in obstetrics are process indicators and do not directly measure health effects, and cannot always be identified from routinely available databases. Our objective was to propose a set of indicators to assess the quality of hospital obstetric care from maternal morbidity outcomes identifiable in permanent hospital discharge databases.

Methods: Various maternal morbidity outcomes potentially reflecting quality of obstetric care were first selected from a systematic literature review. Read More

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http://journals.plos.org/plosone/article?id=10.1371/journal.pone.0211955PLOS
February 2019
2 Reads

[A Case of Uterine Rupture during Pregnancy].

Cuad Bioet 2019 Jan-Apr;30(98):67-76

Academia Alphonsiana Roma. Italia.

The article presents a rare case of uterine rupture at the 19th week of gestation, in the presence of a scar after a caesarean section practiced two years earlier. The fetus was pulled out alive, but given the gestational age, died within a few minutes. The uterus was preserved, but the woman was advised to proceed with tubal ligation and, in any case, to absolutely avoid a new pregnancy. Read More

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November 2018
1 Read

Efficacy of second-trimester termination procedure; medical, mechanic, or combine?

Interv Med Appl Sci 2018 Sep;10(3):133-136

Faculty of Medicine, Department of Obstetrics and Gynecology, Ankara University, Ankara, Turkey.

Objectives: During mid-trimester, it is necessary to terminate pregnancy due to some fetal anomalies and intrauterine death. Therefore, in this study, we aimed to compare abortion induction methods and combined use retrospectively.

Methods: About 112 out of 223 pregnant patients were included in the study. Read More

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http://dx.doi.org/10.1556/1646.10.2018.25DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6343579PMC
September 2018

Maternal complications following open and fetoscopic fetal surgery: A systematic review and meta-analysis.

Prenat Diagn 2019 Jan 31. Epub 2019 Jan 31.

Institute for Women's Health, University College London, London, UK.

Objective: To establish maternal complication rates for fetoscopic or open fetal surgery.

Methods: We conducted a systematic literature review for studies of fetoscopic or open fetal surgery performed since 1990, recording maternal complications during fetal surgery, the remainder of pregnancy, delivery and after the index pregnancy.

Results: One hundred and sixty-six studies were included, reporting outcomes for open fetal (n=1193 patients) and fetoscopic surgery (n=9403 patients). Read More

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http://doi.wiley.com/10.1002/pd.5421
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http://dx.doi.org/10.1002/pd.5421DOI Listing
January 2019
8 Reads

Uterine Artery Pseudoaneurysm: A Life-Threatening Cause of Vaginal Bleeding in the Emergency Department.

J Emerg Med 2019 Jan 23. Epub 2019 Jan 23.

Department of Emergency Medicine, Medical University of South Carolina, Charleston, South Carolina.

Background: Vaginal bleeding is a common presenting complaint in the emergency department (ED); life-threatening hemorrhage is rare. Uterine artery pseudoaneurysm (UAP) is an uncommon but potentially life-threatening cause of vaginal bleeding that is most likely to present primarily to EDs, given its delayed postpartum or postoperative presentation.

Case Report: A 25-year-old female gravida two, para one, who was 19 days post dilation and evacuation for an elective termination of a pregnancy at 20 weeks, presented to the ED with profuse vaginal bleeding. Read More

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http://dx.doi.org/10.1016/j.jemermed.2018.12.016DOI Listing
January 2019
3 Reads

Pregnancy outcomes of antibody negative and untreated subclinical hypothyroidism.

J Obstet Gynaecol Res 2019 Jan 22. Epub 2019 Jan 22.

Department of Obstetrics and Gynecology, Bursa Yuksek Ihtisas Research and Training Hospital, Bursa, Turkey.

Aim: Subclinical hypothyroidism is thought to be associated with adverse pregnancy outcomes but the data is conflicting and generally depends on antibody positivity and treatment. We evaluated the pregnancy outcomes in Turkish population with untreated, antibody negative subclinical hypothyroidism for the first time.

Methods: We searched for 30 015 patients between January 2016 and May 2017 retrospectively. Read More

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http://dx.doi.org/10.1111/jog.13925DOI Listing
January 2019
3 Reads

Adverse pregnancy outcomes related to preterm cesarean delivery.

Eur J Obstet Gynecol Reprod Biol 2019 Jan 9;234:89-91. Epub 2019 Jan 9.

Department of Obstetrics and Gynecology, Yokohama City University School of Medicine, Japan.

Objective: Cesarean delivery at a preterm gestational age has been related to maternal complications such as bleeding and infection. However, previous reports are conflicting, and there is no consensus on the matter. We aimed to clarify the adverse effect of preterm cesarean delivery with an emphasis on maternal bleeding. Read More

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http://dx.doi.org/10.1016/j.ejogrb.2018.12.033DOI Listing
January 2019
3 Reads

Is hysteroscopic metroplasty using the incision method for septate uterus a risk factor for adverse obstetric outcomes?

J Obstet Gynaecol Res 2019 Jan 17. Epub 2019 Jan 17.

Department of Obstetrics and Gynecology, Nippon Medical School Hospital, Tokyo, Japan.

Aim: This study aimed to assess whether hysteroscopic metroplasty using the incision method for septate uterus is a risk factor for adverse obstetric outcomes during pregnancy or delivery.

Methods: This retrospective, single-center cohort study of obstetric complications included 41 patients with recurrent pregnancy loss or unexplained infertility who underwent hysteroscopic metroplasty using the incision method for septate uterus. As controls, we recruited 1139 women who delivered at our hospital during the same period. Read More

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http://dx.doi.org/10.1111/jog.13884DOI Listing
January 2019
2 Reads

Trial of labor after cesarean (TOLAC) in women with premature rupture of membranes.

J Matern Fetal Neonatal Med 2019 Jan 17:1-7. Epub 2019 Jan 17.

a Department of Obstetrics and Gynecology, Sheba Medical Center , Tel-Hashomer, Sackler School of Medicine, Tel Aviv University , Tel Aviv , Israel.

Introduction: The aim of this study was to assess the success rate of a trial of labor after a previous cesarean section (TOLAC) in the settings of premature rupture of membranes (PROM) and to compare conservative management with spontaneous labor and induction of labor.

Methods: This was a retrospective cohort study conducted in a single tertiary care center between January 2011 and March 2017. Women with singleton pregnancy and a previous cesarean section (CS) who presented with PROM and underwent TOLAC were included. Read More

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https://www.tandfonline.com/doi/full/10.1080/14767058.2019.1
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http://dx.doi.org/10.1080/14767058.2019.1566312DOI Listing
January 2019
8 Reads

[Vaginal birth after previous cesarean section in low-resource countries: healthcare chain and materno-fetal follow-up].

Pan Afr Med J 2018 6;30:255. Epub 2018 Aug 6.

Faculté de Médecine et des Sciences Biomédicales, Université de Yaoundé I, Yaoundé, Cameroun.

The rate of uterine scars, an established risk factor for obstetric morbidity, is increasing worldwide. In developing countries, spontaneous uterine ruptures may constitute 87.4% of cases. Read More

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http://dx.doi.org/10.11604/pamj.2018.30.255.15678DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6317296PMC
January 2019
1 Read

A comparative randomized study on effect of vaginally administered glyceryl trinitrate placebo on cervical ripening prior to induction of labor in overdue pregnancies.

Indian J Pharmacol 2018 Sep-Oct;50(5):260-265

Department of Nursing, Faculty of Health Science, Bandirma Onyedi Eylül University, Balikesir, Turkey.

Objective: The aim of this study is to examine the effectiveness and adverse effects of local glyceryl trinitrate (GTN) application during labor compared with a placebo group.

Methods: The study consisted of 70 pregnant women with overdue pregnancies who presented to the hospital for labor induction between January 2009 and January 2011 in the Obstetrics Clinic of Istanbul Süleymaniye Gynecology and Obstetrics Education and Training Hospital. Vaginal suppositories-containing GTN (36/70) or placebo (34/70) was administered to the participants in a randomized fashion. Read More

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http://dx.doi.org/10.4103/ijp.IJP_182_18DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6302700PMC
January 2019
3 Reads

Silent spontaneous posterior uterine rupture of a prior caesarean delivery at 36 weeks of gestation.

BMC Pregnancy Childbirth 2019 Jan 11;19(1):23. Epub 2019 Jan 11.

Department of Obstetrics and Gynaecology, Women and Children's Hospital of Shanxi Province, Taiyuan, 030001, People's Republic of China.

Background: In caesarean section patients, the spontaneous rupture of the posterior wall of the uterus is extremely rare, with nonspecific signs and symptoms being present. Perinatal and maternal morbidity and mortality are high.

Case Presentation: A 28-year-old woman at 36 + 6 weeks of gestation presented with mild uterine contractions and developed a sudden abdominal distension. Read More

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http://dx.doi.org/10.1186/s12884-019-2180-3DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6330490PMC
January 2019
4 Reads

Caesarean scar pregnancy: time to explore indications of the caesarean sections?

J Obstet Gynaecol 2019 Jan 11:1-7. Epub 2019 Jan 11.

c Department of Pharmacology , Sheikh Zayed Hospital , Abu Dhabi , United Arab Emirates.

A retrospective study was conducted in women with history of a caesarean scar pregnancy (CSP) to explore the possible causative mechanisms. Over a period of 40 months, a total of 16,926 deliveries and 3554 caesarean sections (CS) occurred in our hospital. Nine cases of CSP were identified at an incidence of 1:1880 births and 0. Read More

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http://dx.doi.org/10.1080/01443615.2018.1519529DOI Listing
January 2019
1 Read

Retained Intrauterine Device (IUD): Triple Case Report and Review of the Literature.

Case Rep Obstet Gynecol 2018 5;2018:9362962. Epub 2018 Dec 5.

Maternal and Fetal Medicine, Department of Obstetrics and Gynecology, Lincoln Medical and Mental Health Center, 234 East 149th Street, Bronx, New York 10451, USA.

Background: Throughout the world, intrauterine contraceptive devices (IUDs) are a frequently used, reversible, popular contraceptive method. They are usually placed without major complications. Uterine perforation is a rarely observed complication. Read More

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https://www.hindawi.com/journals/criog/2018/9362962/
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http://dx.doi.org/10.1155/2018/9362962DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6304543PMC
December 2018
8 Reads

A preliminary investigation of the effects of labour inducing plant, , on the outcomes of pregnancy using rat models.

Malawi Med J 2018 09;30(3):159-161

University of Strathclyde, The Arbuthnott Building, 161 Cathedral Street, Glasgow, G4 ORE, UK.

Background: The use of traditional remedies in pregnancy has been associated with bad obstetric outcomes including uterine rupture and foetal distress. These outcomes may ultimately lead to maternal and child mortality or morbidity. Few studies have been done to measure the effects of various herbs in pregnant women or a developing fetus. Read More

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http://dx.doi.org/10.4314/mmj.v30i3.5DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6307056PMC
September 2018

Use of plastic wound retractor at hysterotomy site in prenatal repair of myelomeningocele: a new technique.

J Matern Fetal Neonatal Med 2019 Feb 3:1-6. Epub 2019 Feb 3.

a Department of Obstetrics and Gynecology , Fetal Medicine Unit , Santiago , Chile.

Objective: To describe the use of a self-retaining thermoplastic polyurethane wound retractor for the management of hysterotomy during prenatal repair of myelomeningocele.

Methods: The preliminary experience with 16 consecutive cases of open surgery for prenatal repair of myelomeningocele using a new technique is presented. Under general anesthesia, the gravid uterus was partially exteriorized through a low transverse abdominal incision and a high 3-4-cm midline vertical mini-hysterotomy was performed. Read More

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http://dx.doi.org/10.1080/14767058.2019.1566902DOI Listing
February 2019
2 Reads

Cesarean section scar dehiscence during pregnancy: Case reports.

J Family Med Prim Care 2018 Nov-Dec;7(6):1561-1565

Department of Obstetrics and Gynecology №1, Marat Ospanov, West Kazakhstan State Medical University, Aktobe, Kazakhstan.

Background: The incidence of cesarean section increased worldwide with subsequent increase in the risk of cesarean section scar dehiscence (CSSD). The clinical significance and the management of the CSSD are still unclear.

Case Reports: Here, we report two cases of CSSD. Read More

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http://www.jfmpc.com/text.asp?2018/7/6/1561/246512
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http://dx.doi.org/10.4103/jfmpc.jfmpc_361_18DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6293899PMC
January 2019
13 Reads

Pregnancy in Women With a History of Uterine Rupture.

Obstet Gynecol Surv 2018 Dec;73(12):703-708

Professor and Chair, Department of Obstetrics and Gynecology, Oregon Health & Science University, Portland, OR.

Importance: With increased rates of primary and repeat cesarean deliveries, the potential for uterine rupture and management of women with a history of uterine rupture has also increased. Taking care of a pregnant woman with a prior uterine rupture requires understanding of the risks, the need for additional surveillance, and the limitations of our knowledge about how rupture affects subsequent pregnancies.

Objective: The aims of this study were to review the literature on pregnancy after uterine rupture and to summarize the evidence to help the obstetrician care for a pregnant woman with a history of uterine rupture. Read More

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http://dx.doi.org/10.1097/OGX.0000000000000624DOI Listing
December 2018
11 Reads

Successful preterm pregnancy in a rare variation of Herlyn-Werner-Wunderlich syndrome: a case report.

BMC Pregnancy Childbirth 2018 Dec 17;18(1):498. Epub 2018 Dec 17.

Department of Woman's and Child's Health, Obstetrics and Gynecological Unit, San Camillo-Forlanini Hospital, Circonvallazione Gianicolense 87, 00152, Rome, Italy.

Background: Herlyn-Werner-Wunderlich syndrome (HWWS) is an uncommon congenital anomaly of the female urogenital tract, characterised by uterus didelphys, obstructed hemivagina, and ipsilateral renal agenesis. We reported the difficult pregnancy course complicated by an extremely rare and unique case of this syndrome associated with ectrodactyly, a clinical combination never described in literature.

Case Presentation: A 28- year-old nulliparous woman previously diagnosed for HWWS associated with ectrodactyly of the right foot and with a history of abdominal left hemi-hysterectomy, ipsilateral salpingectomy, vaginal reconstruction when she was an adolescent. Read More

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http://dx.doi.org/10.1186/s12884-018-2133-2DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6296152PMC
December 2018
3 Reads

Successful pregnancy after uterine artery embolization for uterine arterovenous malformation: a rare case report.

Int J Womens Health 2018 21;10:745-750. Epub 2018 Nov 21.

Università degli studi di Salerno - Dipartimento di Medicina, Chirurgia e Odontoiatria "Scuola Medica Salernitana", Salerno, Italy,

Objective: This paper reports on a rare case of pregnancy after uterine artery embolization (UAE) for uterine arteriovenous malformation (AVM). Debate exists about persistence of fertility in women after UAE. Adverse effects of this technique can modify both uterine echostructure, inducing necrosis and infarction, endometrial atrophy and uterine artery rupture, and ovarian reserve, causing persistent amenorrhea. Read More

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http://dx.doi.org/10.2147/IJWH.S182131DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6254590PMC
November 2018
1 Read

Case of uterine rupture after multiple intrauterine operations and uterine artery embolization.

J Obstet Gynaecol Res 2018 Dec 3. Epub 2018 Dec 3.

Department of Obstetrics and Gynecology, Aso Iizuka Hospital, Iizuka, Fukuoka, Japan.

Uterine rupture is rare but may result in both maternal and fetal death. The factors involved in such deaths depend on each case, but uterine artery embolization (UAE), the common treatment for hemorrhage, is possibly one factor. UAE may be related to uterine rupture or placenta accreta, but few data exist regarding UAE and uterine rupture. Read More

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http://dx.doi.org/10.1111/jog.13881DOI Listing
December 2018
1 Read

Postpartum Treatment of a Herniation of the Anterior Uterine Wall due to Remains of Placenta Increta.

Case Rep Obstet Gynecol 2018 30;2018:5921495. Epub 2018 Oct 30.

Department of Obstetrics and Gynecology, Fattouma Bourguiba Teaching Hospital of Monastir. Rue 1er Juin 1955, 5000 Monastir, Tunisia.

In recent years, the incidence of placenta accreta and associated complications has increased significantly. The authors report the case of a pregnant woman in the 5th month of pregnancy for premature rupture of the membranes. The placenta was inserted low. Read More

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http://dx.doi.org/10.1155/2018/5921495DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6232829PMC
October 2018
2 Reads

Prenatal imaging features suggestive of liver gestational allo immune disease.

J Gynecol Obstet Hum Reprod 2019 Jan 19;48(1):61-64. Epub 2018 Nov 19.

Fetal Medicine unit, Université Claude Bernard, Lyon 1, Hospices Civils de Lyon, Hôpital Femme Mère Enfant, 59 boulevard Pinel, 69500, Bron, Lyon, France. Electronic address:

We report prenatal imaging features of four cases of neonatal hemochromatosis due to an alloimmune disease. All cases exhibited intra uterine growth restriction (IUGR) without arguments for a vascular etiology, associated with oligohydramnios. Placental hydrops was present in 75% of cases. Read More

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http://dx.doi.org/10.1016/j.jogoh.2018.11.005DOI Listing
January 2019
11 Reads

Trial of labor after cesarean delivery in twin gestations: systematic review and meta-analysis.

Am J Obstet Gynecol 2018 Nov 19. Epub 2018 Nov 19.

The Division of Clinical Pharmacy, Institute for Drug Research, School of Pharmacy, The Hebrew University of Jerusalem, Jerusalem, Israel.

Background: Trial of labor after cesarean is offered as a routine option for singleton gestations with previous cesarean delivery. However, adequate data are not available to determine whether the approach is equally valid in women with twin gestation.

Objective: This systematic review and meta-analysis aimed to assess maternal morbidities associated with trial of labor after cesarean delivery in twin gestations. Read More

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http://dx.doi.org/10.1016/j.ajog.2018.11.125DOI Listing
November 2018
14 Reads

A full term abdominal pregnancy with an isthmic tubal implantation of the placenta.

BMC Pregnancy Childbirth 2018 Nov 19;18(1):448. Epub 2018 Nov 19.

Yalgado Ouédraogo University Teaching Hospital of Ouagadougou, 03 BP 7022, Ouagadougou, 03, Burkina Faso.

Background: Abdominal pregnancy is defined as the partial or total insertion of the embryo into the abdominal cavity. It is rare, and can evolve towards the full term if it is not recognized in the early pregnancy. It carries a high risk of maternal-fetal morbidity and mortality. Read More

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http://dx.doi.org/10.1186/s12884-018-2071-zDOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6245774PMC
November 2018
1 Read

Incidence and factors associated with outcomes of uterine rupture among women delivered at Felegehiwot referral hospital, Bahir Dar, Ethiopia: cross sectional study.

BMC Pregnancy Childbirth 2018 Nov 16;18(1):447. Epub 2018 Nov 16.

Marie Stops International Ethiopia, Bahir Dar, Ethiopia.

Background: Maternal mortality is a major public health challenge in Ethiopia. Uterine rupture is an obstetrical emergency with serious undesired complications for laboring mothers resulting in fatal maternal and neonatal outcomes. Uterine rupture has been contributing to high maternal morbidity and mortality. Read More

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https://bmcpregnancychildbirth.biomedcentral.com/articles/10
Publisher Site
http://dx.doi.org/10.1186/s12884-018-2083-8DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6240227PMC
November 2018
11 Reads

Adverse pregnancy and perinatal outcome in patients with recurrent pregnancy loss: Multiple imputation analyses with propensity score adjustment applied to a large-scale birth cohort of the Japan Environment and Children's Study.

Am J Reprod Immunol 2019 Jan 13;81(1):e13072. Epub 2018 Dec 13.

Department of Pediatrics and Neonatology, Nagoya City University, Graduate School of Medical Sciences, Nagoya, Japan.

Problem: Several studies have reported the increased risk of preterm birth, premature rupture of membranes, and low birth weight in patients with recurrent pregnancy loss (RPL). There have been a limited number of large population-based studies examining adverse pregnancy and perinatal outcome after RPL. Multiple-imputed analyses (MIA) adjusting for biases due to missing data is also lacking. Read More

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http://dx.doi.org/10.1111/aji.13072DOI Listing
January 2019
21 Reads

Interstitial Pregnancy: From Medical to Surgical Approach-Report of Three Cases.

Case Rep Obstet Gynecol 2018 15;2018:2815871. Epub 2018 Oct 15.

Department of Obstetrics and Gynecology, SS Annunziata Hospital, Chieti, Italy.

Background: Interstitial pregnancy is a rare form of ectopic pregnancy that usually leads to uterine rupture resulting in sudden life-threatening haemorrhage, need for blood transfusion, and admission to intensive care unit. Mortality rate is 6-7 times higher than that in classical ectopic pregnancy. Uterine rupture has been typically reported to occur at more advanced gestational ages compared to tubal pregnancy although several recent reports have shown a high risk of rupture before 12 weeks of gestation. Read More

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https://www.hindawi.com/journals/criog/2018/2815871/
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http://dx.doi.org/10.1155/2018/2815871DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6205099PMC
October 2018
18 Reads

[Antenatal management in case of preterm premature rupture of membranes before fetal viability: CNGOF Preterm Premature Rupture of Membranes Guidelines].

Authors:
E Azria

Gynecol Obstet Fertil Senol 2018 12 6;46(12):1076-1088. Epub 2018 Nov 6.

Maternité Notre Dame de Bon Secours, groupe hospitalier Paris Saint-Joseph, DHU risques et grossesse, 185, rue Raymond-Losserand, 75014 Paris, France; Inserm UMR 1153, équipe de recherche en épidémiologie obstétricale, périnatale et pédiatrique (EPOPé), centre de recherche épidémiologie et statistique Sorbonne Paris Cité, université Paris Descartes, 75014 Paris, France. Electronic address:

Objectives: To evaluate the maternal, perinatal and long-term prognosis in the event of previable premature rupture of the membranes (PROM) and to specify the interventions likely to reduce the risks and improve the prognosis.

Methods: The PubMed database, the Cochrane Library and the recommendations from the French and foreign obstetrical societies or colleges have been consulted.

Results: Previable PROM is a rare event whose frequency varies from 0. Read More

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https://linkinghub.elsevier.com/retrieve/pii/S24687189183027
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http://dx.doi.org/10.1016/j.gofs.2018.10.023DOI Listing
December 2018
10 Reads

Spontaneous complete regression of large uterine fibroid after the second vaginal delivery: Case report.

Authors:
Myounghwan Kim

Medicine (Baltimore) 2018 Nov;97(45):e13092

Rationale: Fibroids are common, hormone-dependent, benign uterine tumors. It is estimated that they occur in 20% to 40% of women during their reproductive years. The prevalence of fibroids among pregnant women is 10. Read More

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http://Insights.ovid.com/crossref?an=00005792-201811090-0003
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http://dx.doi.org/10.1097/MD.0000000000013092DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6250539PMC
November 2018
8 Reads

Vaginal birth after prior myomectomy.

Eur J Obstet Gynecol Reprod Biol 2018 Dec 3;231:198-203. Epub 2018 Oct 3.

University of Milano Bicocca, Milan, Italy; Department of Obstetrics and Gynecology, Carate Brianza Hospital, ASST Vimercate, Italy.

Objective: The aim of this retrospective cohort study was to evaluate the obstetrical and perinatal outcomes of vaginal birth in case of pregnancies achieved after prior myomectomy. We also analyzed how operative characteristics at the time of surgery might influence the choice of obstetricians about mode of delivery.

Study Design: We analyzed retrospectively all women who underwent laparoscopic (LPS) or laparotomic (LPT) myomectomy between January 2002 and December 2014, in a network of three Institutions belonging to the University of Milano Bicocca, Italy. Read More

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http://dx.doi.org/10.1016/j.ejogrb.2018.10.007DOI Listing
December 2018
1 Read

Predictors of uterine rupture in a large sample of women in Senegal and Mali: cross-sectional analysis of QUARITE trial data.

BMC Pregnancy Childbirth 2018 Nov 1;18(1):432. Epub 2018 Nov 1.

Research Institute for Development, Université Paris Descartes, Sorbonne Paris Cité, Research Unit 196 (CEPED), Paris, France.

Background: The purpose of this study was to investigate predictors of uterine rupture in a large sample of sub-Saharan African women. Uterine rupture is rare in high-income countries, but it is more common in low-income settings where health systems are often under-resourced. However, understanding of risk factors contributing to uterine rupture in such settings is limited due to small sample sizes and research rarely considers system and individual-level factors concomitantly. Read More

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http://dx.doi.org/10.1186/s12884-018-2064-yDOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6211600PMC
November 2018
2 Reads

Spontaneous premature birth as a target of genomic research.

Pediatr Res 2018 Sep 18. Epub 2018 Sep 18.

PEDEGO Research Unit, Medical Research Center Oulu, University of Oulu, and Department of Children and Adolescents, Oulu University Hospital, Oulu, Finland.

Spontaneous preterm birth is a serious and common pregnancy complication associated with hormonal dysregulation, infection, inflammation, immunity, rupture of fetal membranes, stress, bleeding, and uterine distention. Heredity is 25-40% and mostly involves the maternal genome, with contribution of the fetal genome. Significant discoveries of candidate genes by genome-wide studies and confirmation in independent replicate populations serve as signposts for further research. Read More

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http://dx.doi.org/10.1038/s41390-018-0180-zDOI Listing
September 2018
5 Reads

A closed external cervical OS with visible bulging membranes may indicate uterine rupture.

Taiwan J Obstet Gynecol 2018 10;57(5):775

Perinatal and Maternal Center of Saitama Medical Center, Jichi Medical University, Japan.

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http://dx.doi.org/10.1016/j.tjog.2018.08.035DOI Listing
October 2018
1 Read
1.261 Impact Factor

Cervical varices unrelated to placenta previa as an unusual cause of antepartum hemorrhage: A case report and literature review.

Taiwan J Obstet Gynecol 2018 Oct;57(5):755-759

Department of Obstetrics and Gynecology, Kaohsiung Medical University Hospital, Kaohsiung Medical University, Kaohsiung, Taiwan; Department of Obstetrics and Gynecology, College of Medicine, Kaohsiung Medical University, Kaohsiung, Taiwan. Electronic address:

Objective: Ruptured cervical varicose veins can cause significant vaginal bleeding during the third trimester of pregnancy. The etiology is not uncommon, yet receives little discussion in current literature. We here report such a case with complete evaluations, managements and follow ups; while analyzing similar cases published. Read More

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http://dx.doi.org/10.1016/j.tjog.2018.08.028DOI Listing
October 2018
3 Reads

Ultrasound Features of Rudimentary Horn Ectopic Pregnancies.

J Ultrasound Med 2018 Oct 20. Epub 2018 Oct 20.

Department of Radiology and Radiological Sciences, Vanderbilt University Medical Center, Nashville, Tennessee, USA.

Rudimentary horn ectopic pregnancies are uncommonly encountered in women with müllerian duct anomalies. The clinical presentation of this entity is nonspecific, giving ultrasound a critical role in making the diagnosis. Timely diagnosis and management of rudimentary horn ectopic pregnancies are pivotal in reducing the high rates of uterine rupture and maternal mortality historically associated with this condition. Read More

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http://dx.doi.org/10.1002/jum.14847DOI Listing
October 2018
7 Reads

Obstetrical outcomes after vaginal repair of caesarean scar diverticula in reproductive-aged women.

BMC Pregnancy Childbirth 2018 Oct 19;18(1):407. Epub 2018 Oct 19.

Department of Gynecology, Xinhua Hospital affiliated with Shanghai Jiaotong University, 1665 Kong Jiang Rd, Yang Pu District, Shanghai, 200092, China.

Background: Although vaginal repair has been conducted to manage caesarean scar diverticula, most studies evaluated only the gynaecological outcomes post-surgery, and their obstetrical outcomes were unknown. This study aimed to evaluate the obstetrical outcomes in vaginal repair-treated caesarean scar diverticula patients.

Methods: A series of 51 symptomatic women with caesarean scar defects or a thickness of the remaining muscular layer of less than 3 mm according to transvaginal ultrasound were included. Read More

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http://dx.doi.org/10.1186/s12884-018-2015-7DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6194597PMC
October 2018
9 Reads

Short-term and long-term effects of caesarean section on the health of women and children.

Lancet 2018 10;392(10155):1349-1357

Department of Obstetrics and Gynaecology, Aga Khan University, Nairobi, Kenya; Faculty of Medicine and Health Sciences, Ghent University, Ghent, Belgium.

A caesarean section (CS) can be a life-saving intervention when medically indicated, but this procedure can also lead to short-term and long-term health effects for women and children. Given the increasing use of CS, particularly without medical indication, an increased understanding of its health effects on women and children has become crucial, which we discuss in this Series paper. The prevalence of maternal mortality and maternal morbidity is higher after CS than after vaginal birth. Read More

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https://linkinghub.elsevier.com/retrieve/pii/S01406736183193
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http://dx.doi.org/10.1016/S0140-6736(18)31930-5DOI Listing
October 2018
5 Reads

Effects of adenomyosis on obstetric outcomes: a literature review.

Minerva Ginecol 2018 Oct 11. Epub 2018 Oct 11.

Policlinico Abano Terme, Abano Terme, Padua, Italy.

Introduction: Several studies investigated the correlation between adenomyosis and adverse pregnancy outcomes. However, the role of adenomyosis as a risk factor for adverse outcomes in has yet to be established. The aim of this systematic review is to clarify the possible association between uterine adenomyosis and poor obstetrical outcomes. Read More

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https://www.minervamedica.it/index2.php?show=R09Y9999N00A181
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http://dx.doi.org/10.23736/S0026-4784.18.04318-6DOI Listing
October 2018
16 Reads

Predictability of intrapartum cardiotocography with meconium stained liquor and its correlation with perinatal outcome.

J Pak Med Assoc 2018 Jul;68(7):1014-1018

Department of Research, Dow University of Health Sciences, Karachi, Pakistan.

Objective: To determine the relationship between the colour of liquor and the trace of cardiotocography to see whether it is reactive or non-reactive..

Methods: This cross-sectional study was conducted at Obstetrics and Gynaecology department, Dar-ul-Sehat Hospital, Karachi from June 2015 to March 2016, and comprised women in labour who delivered singleton babies and had >37 weeks of gestation. Read More

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July 2018
4 Reads
0.403 Impact Factor

The current place of mini-invasive surgery in uterine leiomyoma management.

Authors:
Jean Dubuisson

J Gynecol Obstet Hum Reprod 2019 Feb 12;48(2):77-81. Epub 2018 Oct 12.

Faculty of Medicine, University of Geneva, Geneva, Switzerland; Department of Obstetrics and Gynecology, University Hospitals of Geneva, Geneva, Switzerland. Electronic address:

Uterine leiomyomas are the most common benign tumors in women of reproductive age. Most of leiomyomas are asymptomatic. They are often found incidentally, and require neither monitoring nor treatment. Read More

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https://linkinghub.elsevier.com/retrieve/pii/S24687847183033
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http://dx.doi.org/10.1016/j.jogoh.2018.10.004DOI Listing
February 2019
9 Reads

First and Third Trimester Uterine Scar Thickness in Women With Previous Caesarean: A Prospective Comparative Study.

J Obstet Gynaecol Can 2019 Jan 10;41(1):59-63. Epub 2018 Oct 10.

Reproduction, Mother and Child Health Unit, Centre Hospitalier Universitaire de Québec - Université Laval Research Centre, Québec City, QC; Department of Gynecology, Obstetrics and Reproduction, Faculty of Medicine, Université Laval, Québec City, QC. Electronic address:

Background: Lower uterine segment (LUS) thickness in the third trimester of gestation is associated with the risk of uterine scar defect at delivery. It was suggested that first trimester residual myometrial thickness (RMT) could also predict uterine scar defect at delivery.

Objective: This study sought to correlate the RMT measured at the site of uterine scar in the first trimester with the LUS thickness measured in the third trimester. Read More

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https://linkinghub.elsevier.com/retrieve/pii/S17012163183007
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http://dx.doi.org/10.1016/j.jogc.2018.02.020DOI Listing
January 2019
9 Reads

Short interpregnancy intervals and adverse maternal outcomes in high-resource settings: An updated systematic review.

Paediatr Perinat Epidemiol 2019 01 12;33(1):O48-O59. Epub 2018 Oct 12.

US Department of Health and Human Services, Office of Population Affairs, Office of the Assistant Secretary for Health, Rockville, Maryland.

Background: Currently, no federal guidelines provide recommendations on healthy birth spacing for women in the United States. This systematic review summarises associations between short interpregnancy intervals and adverse maternal outcomes to inform the development of birth spacing recommendations for the United States.

Methods: PubMed/Medline, POPLINE, EMBASE, CINAHL, the Cochrane Database of Systematic Reviews, and a previous systematic review were searched to identify relevant articles published from 1 January 2006 and 1 May 2017. Read More

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http://doi.wiley.com/10.1111/ppe.12518
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http://dx.doi.org/10.1111/ppe.12518DOI Listing
January 2019
13 Reads

Primary intrauterine dysgerminoma in a pregnant woman: A rare case report.

Indian J Pathol Microbiol 2018 Oct-Dec;61(4):590-592

Department of Pathology, Shiraz University of Medical Sciences, Shiraz, Iran.

Primary extraovarian dysgerminoma is very rare. Nearly all reported uterine germ cell tumors are nondysgerminoma. Herein, we reported a primary intrauterine dysgerminoma. Read More

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http://www.ijpmonline.org/text.asp?2018/61/4/590/242997
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http://dx.doi.org/10.4103/IJPM.IJPM_598_17DOI Listing
February 2019
8 Reads

Effects of induction of labor prior to post-term in low-risk pregnancies: a systematic review.

JBI Database System Rev Implement Rep 2019 Feb;17(2):170-208

Department of Midwifery and Therapeutic Sciences, University College Copenhagen, Copenhagen, Denmark.

Objective: The objective of this review was to identify, assess and synthesize the best available evidence on the effects of induction prior to post-term on the mother and fetus. Maternal and fetal outcomes after routine labor induction in low-risk pregnancies at 41+0 to 41+6 gestational weeks (prior to post-term) were compared to routine labor induction at 42+0 to 42+6 gestational weeks (post-term).

Introduction: Induction of labor when a pregnancy exceeds 14 days past the estimated due date has long been used as an intervention to prevent adverse fetal and maternal outcomes. Read More

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http://dx.doi.org/10.11124/JBISRIR-2017-003587DOI Listing
February 2019
4 Reads

[Uterine rupture of the unscarred uterus: A report of 10 cases].

Gynecol Obstet Fertil Senol 2018 11 4;46(10-11):692-695. Epub 2018 Oct 4.

Gynécologie obstétrique, Caen University Hospital, avenue de la Côte-de-Nacre, 14000 Caen, France; Université de Normandie 2, rue des Rochambelles, 14000 Caen, France.

Introduction: Uterine rupture in the healthy uterus is a rare obstetrical complication, not much suspected and with badly identified risk factors. Thus, there exists frequent delay for treatment and therefore fetal-maternal important morbidity and mortality. This article describes clinical signs and symptoms, management, and maternal and neonatal prognosis of uterine rupture. Read More

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https://linkinghub.elsevier.com/retrieve/pii/S24687189183025
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http://dx.doi.org/10.1016/j.gofs.2018.09.007DOI Listing
November 2018
21 Reads

Herniation of the amniotic sac through congenital uterine defect confirmed during operation: A case report.

J Obstet Gynaecol Res 2019 Feb 4;45(2):450-453. Epub 2018 Oct 4.

Department of Obstetrics, The Second Affiliated Hospital, Zhejiang University School of Medicine, Hangzhou, China.

Herniation of the amniotic sac into the peritoneal cavity or bladder is a rare but serious condition during pregnancy, which has not been reported in pored congenital uterine anomaly. Here, we report a rare case to draw obstetricians' attention to the atypical uterine rupture. A primigravida at 35 weeks of gestation was admitted for upper abdominal pain. Read More

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http://dx.doi.org/10.1111/jog.13834DOI Listing
February 2019
4 Reads

Timely Identification of Pregnancy in Noncommunicating Horn of Unicornuate Uterus by Three-Dimensional Transvaginal Ultrasonography.

J Clin Imaging Sci 2018 18;8:39. Epub 2018 Sep 18.

Infertility Institute and Research Center, Hyderabad, Telangana, India.

Pregnancy in the rudimentary horn of a unicornuate uterus is uncommon and needs to be diagnosed at early stages to avoid uterine rupture to avert the high morbidity and mortality. In this case report, we discussed the advantage of three-dimensional transvaginal ultrasonography (3D TV-USG) in assessing the early pregnancy in the noncommunicating rudimentary horn of uterus. A 23-year-old woman approached us for routine pregnancy scan. Read More

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http://www.clinicalimagingscience.org/text.asp?2018/8/1/39/2
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http://dx.doi.org/10.4103/jcis.JCIS_25_18DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6157094PMC
September 2018
2 Reads

Outcome of Pregnancies in Female Patients With Inflammatory Bowel Diseases Treated With Vedolizumab.

J Crohns Colitis 2019 Jan;13(1):12-18

Department of Gastroenterology and Hepatology, University Hospitals Leuven, KU Leuven, Leuven, Belgium.

Background And Aims: Vedolizumab is an IgG1 anti-α4β7 integrin antibody approved for the treatment of inflammatory bowel diseases [IBD], but without clear safety data during conception, pregnancy and nursing. Animal studies showed that mucosal vascular addressin cell adhesion molecule 1 [MAdCAM-1] is expressed by maternal vessels in the placenta and recruits α4β7-expressing cells that are considered important for maternal/fetal tolerance. Blocking this interaction by vedolizumab might affect this process. Read More

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http://dx.doi.org/10.1093/ecco-jcc/jjy142DOI Listing
January 2019
6 Reads

Diagnosis and management of a heterotopic pregnancy and ruptured rudimentary uterine horn.

Fertil Res Pract 2018 29;4. Epub 2018 Sep 29.

1Department of Obstetrics, Gynecology, and Reproductive Biology, Brigham and Women's Hospital and Harvard Medical School, Boston, MA 02115 USA.

Background: Heterotopic pregnancies implanted in a rudimentary uterine horn account for 1 in 2-3 million gestations, and confer significant risk of morbidity due to uterine rupture and hemorrhage.

Case Presentation: A 34-year-old nullipara presented with acute pelvic pain at 17 weeks of gestation with dichorionic-diamniotic twins, one in each horn of an anomalous uterus first diagnosed in pregnancy as bicornuate. Three-dimensional ultrasound and MRI revealed myometrial disruption in the left rudimentary uterine horn, and the patient underwent an uncomplicated abdominal hemi-hysterectomy. Read More

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https://fertilityresearchandpractice.biomedcentral.com/artic
Publisher Site
http://dx.doi.org/10.1186/s40738-018-0051-7DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6162954PMC
September 2018
11 Reads