Uterine rupture during pregnancy
X. Xia 1, L. Fan 1, Y. Xia 2, Y. Fang 3,4,5,*
1 Department of Obstetrics and Gynecology, Capital University of Medical Science & Beijing Obstetrics and Gynecology Hospital, Beijing (China)
2 Department of Obstetrics and Gynecology, General Hospital of Chinese People’s Armed Police Forces, Beijing (China)
3 Department of Surgery, University of Missouri, Columbia (USA)
4 Department of Veterans Affairs Research Service, Harry S. Truman Memorial Veterans’ Hospital, Columbia, MO (USA)
5 Department of Urology, the third affiliated hospital of Peking University, Beijing (China)
Clin. Exp. Obstet. Gynecol. 2011, 38(3), 286–287
Published: 10 Sep 2011
The Author(s). Published by IMR Press. This is an open access article under the CC BY 4.0 license.
Abstract
Background: Despite great advances in modern obstetrics, uterine rupture (UR) remains one of the most frightening complications with high morbidity and mortality. Objective: To improve the diagnosis and management of UR. Results: We report two cases of UR. Case 1 was spontaneous UR and case 2 was associated with a scar in the patient’s uterus. Interestingly, the ruptured scar was not a scar from a previous cesarean section; it was a scar that was associated with placenta accreta. The fetal heart rates in both cases were below 80 beats per minute after UR. The newborn in case 1 died soon after delivery, while the newborn in case 2 survived. Both women were healthy and were discharged from hospital two to three weeks after surgery. Conclusion: UR can occur in a previously unscarred uterus or from a scar of a cesarean section or scars caused by other pathologic lesions in the uterus. Severe fetal bradycardia might be a strong indicator for UR. Such study will help obstetricians provide more careful measures to manage UR, so that its morbidity and mortality can be decreased.
