7,449 results match your criteria Uterine Rupture in Pregnancy


Resilience and vulnerability of maternity services in Zimbabwe: a comparative analysis of the effect of Covid-19 and lockdown control measures on maternal and perinatal outcomes, a single-centre cross-sectional study at Mpilo Central Hospital.

BMC Pregnancy Childbirth 2021 Jun 4;21(1):416. Epub 2021 Jun 4.

Department of Obstetrics and Gynaecology, Mpilo Central Hospital, Vera Road, Mzilikazi, Bulawayo, Zimbabwe.

Background: On the 27 of March 2020 the Zimbabwean government declared the Covid-19 pandemic a 'national disaster'. Travel restrictions and emergency regulations have had significant impacts on maternity services, including resource stock-outs, and closure of antenatal clinics during the lockdown period. Estimates of the indirect impact of Covid-19 on maternal and perinatal mortality was expected it to be considerable, but little data was yet available. Read More

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Stinging abdominal pain at 32 gestational weeks with prior classical uterine incision: Careful assessment or emergency cesarean delivery?

Clin Case Rep 2021 May 24;9(5):e04344. Epub 2021 May 24.

Department of Obstetrics and Gynecology Osaka University Graduate School of Medicine Osaka Japan.

The risk of uterine rupture in subsequent pregnancy is 1%-12% in patients with prior classical uterine incision. Management of mild/moderate abdominal pain without an obvious abnormal finding before 36 weeks is challenging owing to fetal immaturity. Read More

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[Original two steps management of an ectopic pregnancy on rudimentary horn in a patient with an unicornuate uterus: a unique case report with a literature review].

Gynecol Obstet Fertil Senol 2021 May 26. Epub 2021 May 26.

Service de Gynécologie Obstétrique et Médecine de la Reproduction. Centre Hospitalier Intercommunal de Créteil, 40 avenue de Verdun, 94000 Créteil, France; Université de Médecine Paris Est Créteil (UPEC), Paris XII, France.

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Role of umbilical interleukin-6, procalcitonin and C-reactive protein measurement in the diagnosis of fetal inflammatory response syndrome.

Ceska Gynekol 2021 ;86(2):80-85

Objective: Fetal Inflammatory Response Syndrome (FIRS) is a serious complication accompanied by increased neonatal mortality and morbidity. Early dia-gnosis of FIRS is essential to detect high risk infants. The aim of the study was to evaluate the correlation between interleukin-6 (IL-6), procalcitonin (PCT), C-reactive protein (CRP) in cord blood and histologically proven funisitis;chorioamnionitis in high-risk infants after preterm birth. Read More

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Ultrasonic diagnosis of asymptomatic rupture of uterine in second trimester of pregnancy after laparoscopic surgery for interstitial pregnancy: a case report.

BMC Pregnancy Childbirth 2021 May 14;21(1):375. Epub 2021 May 14.

Department of Obstetrics and Gynecology, Peking University Third Hospital, 49 North Garden Rd, Haidian District, Beijing, 100191, China.

Background: Uterine rupture is a rare, life-threatening event in obstetrics that may be fatal for the mother and fetus. Therefore, obstetricians need to pay attention to and should consider the antenatal diagnosis of uterine rupture in women having its risk factors. Successful conservative management for asymptomatic uterine rupture due to previous laparoscopic surgery for interstitial pregnancy has already been reported but remains understudied. Read More

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A Scary Complication: Single-center Study on Management and Outcome of Cesarean Scar Pregnancy.

Rev Bras Ginecol Obstet 2021 Apr 12;43(4):311-316. Epub 2021 May 12.

Department of Obstetrics and Gynecology, Ulm University, Ulm, Germany.

A cesarean scar pregnancy (CSP) is a scary and life-threatening complication of cesarean section (CS). Nevertheless, the incidence of CS is constantly growing. The CSP incidence is 0,15% of pregnancies after CS which represents 6,1% of all ectopic pregnancies in women with condition after CS. Read More

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Live birth by cesarean section after rupture of uterine cornua in simultaneous corneal and intrauterine pregnancies.

J Obstet Gynaecol Res 2021 May 9. Epub 2021 May 9.

Department of Obstetrics and Gynecology, The Japanese Red Cross Maebashi Hospital, Maebashi, Japan.

A patient became pregnant by in vitro fertilization and embryo transfer (IVF-ET). She had a history of laparoscopic bilateral salpingectomy and enucleation of a left ovarian tumor due to bilateral hydrosalpinx and left endometriotic cyst in primary infertility. She noticed abdominal pain and visited the nearby general hospital by ambulance (gestational age 6 weeks and 1 day). Read More

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The incidence, risk factors and maternal and foetal outcomes of uterine rupture during different birth policy periods: an observational study in China.

BMC Pregnancy Childbirth 2021 May 5;21(1):360. Epub 2021 May 5.

National Office for Maternal and Child Health Surveillance of China, West China Second University Hospital, Sichuan University, No. 17 Ren Min Nan Lu, Chengdu City, Sichuan Province, 610041, P. R. China.

Background: Currently, there are no studies on changes in the incidence of uterine rupture or maternal and foetal outcomes in women with uterine rupture during different birth policy periods in China. Moreover, the results of association studies of maternal age, parity and previous caesarean section number with the risk of maternal and foetal outcomes in women with uterine rupture have not been consistent. This research aims to conduct and discuss the above two aspects. Read More

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A ruptured seventeen weeks' ectopic pregnancy: A case report.

J Pak Med Assoc 2021 Feb;71(2(B)):763-765

Department of North Surgery, King Edward Medical University, Mayo Hospital Lahore, Lahore, Pakistan.

Ectopic pregnancy is a common condition with a prevalence of 2% in all pregnancies. Implantation of the developing blastocyst outside the uterine cavity leads to ectopic pregnancy. About 95% of ectopic pregnancies occur in the different segments of the fallopian tubes. Read More

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February 2021

Maternal and neonatal outcomes in the following delivery after previous preterm caesarean breech birth: a national cohort study.

J Obstet Gynaecol 2021 May 2:1-6. Epub 2021 May 2.

Department of Obstetrics and Gynaecology, University of Helsinki, Helsinki University Hospital, Helsinki, Finland.

The objective of this retrospective, nationwide Finnish population-based cohort study was to determine whether there is an association between preterm caesarean breech delivery in the first pregnancy and maternal and neonatal morbidity in the subsequent pregnancy and delivery. We identified all singleton preterm breech birth in Finland from 2000 to 2017 (n = 1259) and constructed a data set of the first two deliveries for these women. We compared outcomes of the following pregnancy and delivery among women with a previous preterm caesarean breech section with the outcomes of women with one previous vaginal preterm breech birth. Read More

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Ten years of uterine rupture in an Australian tertiary hospital.

Aust N Z J Obstet Gynaecol 2021 Apr 30. Epub 2021 Apr 30.

Department of Obstetrics and Gynaecology, Westmead Hospital, Sydney, New South Wales, Australia.

Aims: Complete uterine rupture is a rare and serious complication of pregnancy. Although most commonly associated with attempted vaginal birth after caesarean (VBAC), rupture also occurs in atypical/non-VBAC cases. This retrospective, single-tertiary-institution observational study aimed to assess the prevalence and morbidity of complete uterine rupture during 2010-2020. Read More

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Cesarean Scar Ectopic Pregnancy-Case Series: Treatment Decision Algorithm and Success with Medical Treatment.

Medicina (Kaunas) 2021 Apr 8;57(4). Epub 2021 Apr 8.

FEA Obstetric and Gynecology Hospital Regional Materno Infantil, C.P.29011 Málaga, Spain.

: Cesarean scar ectopic pregnancies are a rare form of extrauterine pregnancies, yet their incidence has increased along with the rise in the number of cesarean deliveries. As with other ectopic pregnancies, cesarean scar ectopic pregnancies pose a greater risk for maternal hemorrhage and ultimately maternal mortality. : We present a series of clinical cases of cesarean scar ectopic pregnancy diagnosed by transvaginal ultrasonography. Read More

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Contribution of vaginal culture to predict early onset neonatal infection in preterm prelabor rupture of membranes.

Eur J Obstet Gynecol Reprod Biol 2021 Jun 16;261:78-84. Epub 2021 Apr 16.

Assistance Publique-Hôpitaux de Paris Hôpital Louis Mourier Service de Gynécologie-Obstétrique, Colombes, France; Université de Paris, F-75006, Paris, France; INSERM, IAME, F-75018, Paris, France. Electronic address:

Background: Preterm prelabor rupture of membranes (PPROM) is a major cause of morbidity and mortality for both the mother and the newborn. The vaginal germ profile in PPROM is poorly known, particularly regarding the risk of early-onset neonatal infection (EONI).

Objective: To determine microbiological risk factors for EONI in case of PPROM before 34 weeks of gestation (WG). Read More

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Indications and outcomes of emergency obstetric hysterectomy; a 5-year review at the Bafoussam Regional Hospital, Cameroon.

BMC Pregnancy Childbirth 2021 Apr 23;21(1):323. Epub 2021 Apr 23.

Faculty of Health Sciences, University of Buea, Buea, Cameroon.

Background: Emergency Obstetric Hysterectomy (EOH) is removal of the uterus due to life threatening conditions within the puerperium. This life saving intervention is associated with life threatening complications. In our setting, little is known on EOH. Read More

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A pregnant woman with acute abdomen.

Tidsskr Nor Laegeforen 2021 04 19;141(6). Epub 2021 Apr 19.

Background: Acute abdomen in pregnancy is challenging. The presentation of symptoms and available diagnostic tools are directed and complicated by the pregnancy. A rare cause of acute abdomen in pregnancy requiring immediate intervention is presented. Read More

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Subsequent pregnancy outcome after uterine compression suture placement for postpartum hemorrhage.

Int J Gynaecol Obstet 2021 Apr 17. Epub 2021 Apr 17.

Department of Obstetrics and Gynecology, JIPMER, Pondicherry, India.

Objective: To evaluate the subsequent obstetrical outcome in women who received a uterine compression suture.

Methods: This is a retrospective cohort study of women who received a uterine compression suture for postpartum hemorrhage (PPH) between January 2009 and December 2018 and had a subsequent pregnancy at a tertiary care hospital in India. Women who had PPH but did not receive uterine compression sutures and had a subsequent pregnancy were taken as controls. Read More

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Pregnancy outcome in women with prior placenta accreta spectrum disorders treated with conservative-reconstructive surgery: analysis of 202 cases.

J Matern Fetal Neonatal Med 2021 Apr 11:1-5. Epub 2021 Apr 11.

CYMSA Clínica y Maternidad Suizo Argentina, Buenos Aires, Argentina.

Aim: To report the outcome of pregnant women with a prior pregnancy complicated by placenta accreta spectrum (PAS) disorders treated with resective-conservative surgery at the time of cesarean section.

Materials And Methods: Retrospective analysis of pregnant women treated with conservative surgery in the prior pregnancy complicated by PAS disorders. The primary outcome was spontaneous preterm birth with intact membranes or following a preterm labor rupture of the membranes before 37 weeks of gestation. Read More

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Uterine pseudoaneurysm on the basis of deep infiltrating endometriosis during pregnancy-a case report.

BMC Pregnancy Childbirth 2021 Apr 9;21(1):282. Epub 2021 Apr 9.

Department of Obstetrics and Gynecology, University Hospital of Basel, Basel, Switzerland.

Background: Pseudoaneurysm of the uterine artery (UPA) is a rare cause of potentially life-threatening hemorrhage during pregnancy and puerperium. It is an uncommon condition that mainly occurs after traumatic injury to a vessel following pelvic surgical intervention, but also has been reported based on underlying endometriosis. There is an increased risk of developing UPA during pregnancy. Read More

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Should the interval between doses of antenatal corticosteroids be shortened in certain cases? Factors predicting preterm delivery < 48 h from presentation.

Arch Gynecol Obstet 2021 Mar 29. Epub 2021 Mar 29.

Department of Obstetrics and Gynecology, The Edith Wolfson Medical Center, PO Box 5, 58100, Holon, Israel.

Purpose: Treatment with antenatal corticosteroids (ACS) to women at risk for preterm birth (PTB) is associated with a reduction in adverse neonatal outcomes. Obstetricians occasionally shorten the interval between the doses of steroids if delivery is predicted to occur before ACS are fully administered. In this study, we aimed to investigate predicting factors to identify patients that will deliver prematurely, less than 48 h from presentation. Read More

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Severe maternal morbidity associated with cerclage use in pregnancy.

J Matern Fetal Neonatal Med 2021 Mar 26:1-7. Epub 2021 Mar 26.

Department of Obstetrics and Gynecology, University of Cincinnati College of Medicine, Cincinnati, OH, USA.

Objective: To quantify the frequency of serious maternal complications associated with cerclage use during pregnancy.

Study Design: We performed a retrospective population-based cohort study of all live births in Ohio from 2006 to 2015. Maternal sociodemographic, medical, and obstetric characteristics were compared for births in which cerclage was utilized during the pregnancy versus those without cerclage. Read More

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Successful Delivery after Uterine Rupture with Pervious Open Strassman Metroplasty for a Bicornuate Uterus in a Twin Pregnancy.

Iran J Med Sci 2021 Mar;46(2):144-145

Department of Obstetrics and Gynecology, School of Medicine, Tabriz University of Medical Sciences, Tabriz, Iran.

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Clinical characteristics of uterine rupture without previous Cesarean section: A 25-year retrospective study.

J Obstet Gynaecol Res 2021 Jun 21;47(6):2093-2098. Epub 2021 Mar 21.

Department of Obstetrics and Gynecology, Women's Hospital, Zhejiang University School of Medicine, Hangzhou, China.

Aim: To investigate the clinical characteristics and risk factors of uterine rupture without preceding Cesarean section.

Methods: The medical records of all deliveries at the Women's Hospital, Zhejiang University School of Medicine between 1992 and 2017 were reviewed. All cases of uterine rupture without previous Cesarean delivery were included. Read More

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Laparoscopic Wedge Resection in a Late Second Trimester Cornual Pregnancy.

Gynecol Minim Invasive Ther 2021 Jan-Mar;10(1):47-49. Epub 2021 Jan 30.

Department of Obstetrics and Gynaecology, Putrajaya Hospital, Wilayah Persekutuan, Putrajaya, Malaysia.

Cornual pregnancy happens when implantation occurs in the cavity of a rudimentary horn of the uterus, which may or may not be communicating with the uterine cavity. The diagnosis of cornual pregnancy remains challenging, and rupture of a cornual pregnancy usually causes massive bleeding. Early diagnosis and treatment, therefore, are very crucial and key to prevent mortality. Read More

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January 2021

Do Males Affect Twinning Events? A Review of Current Findings/Twin Research Reviews: Monozygotic Twins Discordant for Parkinson's Disease; Fetal Loss in Twin Pregnancies Following Prenatal Diagnosis; Uterine Rupture and Repair in an Early Twin Pregnancy; Twin Study of Affectionate Communication/Human Interest: Conjoined Twins in a Triplet Set; Identical Twin Nurses Deliver Identical Twins; Identical Twins Discordant for COVID-19 Recovery Course; Identical Twins Pass Away from COVID-19; Archeological Finds of Oldest Identical Twins.

Authors:
Nancy L Segal

Twin Res Hum Genet 2021 Mar 19:1-5. Epub 2021 Mar 19.

Department of Psychology, California State University, Fullerton, CA, USA.

Research into the origins of twinning has focused mostly on contributions from the female side of the family. A review of current findings suggests that possible male contributions to twinning events have been overlooked. This section is followed by brief reviews of twin research concerning monozygotic twins discordant for Parkinson's disease, fetal loss in twin pregnancies following prenatal diagnosis, uterine rupture and repair in an early twin pregnancy and a twin study of affectionate communication. Read More

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Spontaneous fundal uterine rupture in a non-labouring 31-week twin pregnancy and unknown previous hysteroscopic adhesiolysis: A case report.

Case Rep Womens Health 2021 Apr 27;30:e00302. Epub 2021 Feb 27.

Gloucestershire NHS Foundation Trust, Gloucester Royal Hospital, Great Western Road, Gloucester, GL1 3NN.

A 46-year-old woman presented at 31 weeks of gestation with a twin pregnancy (dichorionic, diamniotic) and with mild abdominal pain, not in labour, leading to complete spontaneous fundal uterine rupture. She underwent prompt surgical intervention and resuscitation with packed red cells, cell-salvage blood and fresh frozen plasma (FFP). Twin 1 survived and twin 2 died. Read More

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Unexpected placenta accreta spectrum after the use of assisted reproductive technology in women with adenomyomectomy.

Fukushima J Med Sci 2021 Apr 16;67(1):45-48. Epub 2021 Mar 16.

Department of Obstetrics and Gynecology, Ohta nisinouchi Hospital.

Placenta accreta spectrum (PAS) is a rare complication that can lead to life-threatening postpartum hemorrhage. PAS can sometimes occur unexpectedly, without placenta previa;such cases can lead to higher maternal mortality and morbidity than expected cases. Here, the authors report a case of unexpected PAS caused by assisted reproductive technology (ART) in a woman with adenomyosis. Read More

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Radical trachelectomy.

Int J Gynecol Cancer 2021 Mar 11. Epub 2021 Mar 11.

Department of Women's and Children's Health, Karolinska Institutet, Stockholm, Sweden.

Radical trachelectomy is the 'cornerstone' of fertility-sparing surgery in patients with early-stage cervical cancer wishing to preserve fertility. Growing evidence has demonstrated the oncologic safety and subsequent favorable pregnancy outcomes in well-selected cases. In the absence of prospective trials, the decision on the appropriate surgical approach (vaginal, open, or minimally invasive surgery) should be based on local resources and surgeons' preferences. Read More

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Preterm Deliveries in Women with Uterine Myomas: The Japan Environment and Children's Study.

Int J Environ Res Public Health 2021 02 24;18(5). Epub 2021 Feb 24.

Fukushima Regional Center for the Japan Environment and Children's Study, 1 Hikarigaoka, Fukushima 960-1295, Japan.

This study aimed to clarify the association between uterine myomas and preterm birth (PTB), preterm premature rupture of membranes (pPROM), and intrauterine infection (II). The study was based on data from the Japan Environment and Children's Study, a nationwide birth-cohort study. Data of 86,370 women with singleton births after 22 weeks of gestation (with uterine myomas, = 5354) were retrospectively analyzed. Read More

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February 2021

Transvaginal strangulated bowel evisceration through uterine perforation due to unsafe abortion: a case report and literature review.

BMC Womens Health 2021 03 5;21(1):98. Epub 2021 Mar 5.

Faculty of Medicine and Biomedical Sciences, University of Yaounde I, Yaounde, Cameroon.

Background: Induced abortion, whether therapeutic or elective, is a surgical procedure frequently practiced worldwide. It is a significant cause of maternal morbidity and mortality. When the procedure is performed in precarious conditions, by unqualified personnel, it leads to serious consequences, including uterine perforation and its associated lesions. Read More

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Evaluation of the efficacy of vaginal progesterone in preventing preterm birth after abdominal trachelectomy.

Eur J Obstet Gynecol Reprod Biol 2021 Apr 13;259:119-124. Epub 2021 Feb 13.

Department of Obstetrics and Gynecology, Graduate School of Medical Sciences, Kyushu University, Fukuoka, Japan. Electronic address:

Objective: To determine whether vaginal progesterone (VP) reduces the rate of preterm birth in pregnant women after abdominal trachelectomy (AT) for early-stage cervical cancer STUDY DESIGN: This is an interventional study with a historical cohort. For the interventional study participants who had singleton pregnancies after AT between October 2016 and September 2020, the administration of vaginal progesterone was started between 16 and 19 weeks of gestation and discontinued at 34 weeks of gestation or at the time of delivery, rupture of membranes, or massive uterine bleeding. We investigated obstetric and neonatal outcomes among the study participants and compared them with outcomes of the historical control group participants, included women with singleton pregnancies after AT who were managed without VP at our institution between January 2007 and September 2016, using Fisher's exact test and the Mann-Whitney U test The main outcomes were the gestational age at delivery and incidence of preterm birth before 37 weeks and 34 weeks of gestation. Read More

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