Uterine Rupture In Unscarred Uterus Research Articles

Spontaneous uterine rupture in unscarred uterus in a low resource setting in India: A case series

Uterine rupture, a critical event during childbirth, poses significant challenges in familial and societal contexts. Despite concerted efforts to prevent such occurrences, inevitabilities arise, placing immense burdens on emergency healthcare teams, particularly in remote areas with inadequate facilities. What makes uterine rupture even more dangerous is the difficulty and the delay in diagnosis, especially in the unscarred uterus which invariably causes loss of the fetus in vivo and a high degree of maternal morbidity and mortality. This case series described three cases of rupture in the unscarred uterus, and their subsequent management and outcomes in a resource-constrained environment in Northeast India. Out of three cases, neonatal mortality was reported in all the cases, while maternal mortality was reported in one case. The findings underscore the critical need for heightened awareness, efficient diagnostic strategies, and improved healthcare infrastructure to address the complexities of uterine rupture in unscarred uteri, particularly in low-resource settings.

Spontaneous Full Length Fundal Uterine Rupture in Unscarred Uterus at Preterm Gestational Age in Primigravida

Uterine rupture is associated with major maternal and fetal morbidity and mortality. Presentation may be varying. Here we present very rare spontaneous uterine rupture in unscarred uterus at preterm gestation without going in labour.

Why women still die of childbirth in the 21st century: A case report on uterine rupture in unscarred uterus

Why women still die of childbirth in the 21^st century: A case report on uterine rupture in unscarred uterus

Spontaneous rupture of an unscarred uterus in nongravid horn of bicornuate uterus

Uterine rupture in pregnancy is rare and often catastrophic obstetric event with a high maternal and perinatal complication rate.1Numerous risk factors are known to increase the risk of rupture, but even in high risk groups, overall incidence of uterine rupture is low around 0.07 %.2 Rupture of unscarred uterus may be caused by trauma or congenital or acquired weakness of the myometrium. Contributing factors include exposure to uterotonic drugs, high parity, uterine anomalies, advancing maternal age, dystocia, marosomia, multiple gestation, abnormal placentation, short pregnancy interval. Most ruptures occur in women who had a previous transmyometrial incision, typically for cesarean delivery.Spontaneous rupture in an unscarred uterus is extremely rare. We present a case of spontaneous third trimester uterine rupture in unscarred uterus with Mullerian anomaly. This is extremely rare case of its own we encountered for the first time in our department.

Spontaneous uterine rupture due to cornual placenta percreta in unscarred uterus: A rare & challenging case

Spontaneous uterine rupture in unscarred uterus is a rare and catastrophic complication of pregnancy which can occur at any stage. The placental implantation at cornual end leading to placenta percreta, least common type of placenta accreta syndrome which causes uterine rupture in this case. Placenta accreta is defined as the abnormal attachment or invasion of the whole placenta or parts of it to the underlying musculature. It is a rare clinical condition with incidence ranging from 1: 500 to 1: 93000 deliveries. It is potentially life-threatening for both the mother and the fetus. Adherent placenta accounts for 7-10% of maternal mortality cases worldwide. Prenatal diagnosis seems to be a key factor in optimizing maternal outcome. Both ultrasonography & MRI have good sensitivity for prenatal diagnosis of placenta accreta. In this report we present the case of a G3P1011 with no known risk factors for adherent placenta who was diagnosed to have uterine rupture due to placenta percreta at cornual end leading to haemorrhagic shock. There was gross haemoperitoneum with evidence of uterine rupture on exploratoration which further proceeded with caesarean section & peripartum hysterectomy. Her postoperative period was uneventful. This case report emphasis the importance of keeping spontaneous uterine rupture due placenta percreta in the differential diagnosis of pregnant patient presenting with pain abdomen, hypovolumic shock and intrauterine death even in unscarred uterus.

Placenta accreta and uterine rupture of unscarred uterus in patients with systemic lupus erythematosus with prolonged steroid exposure: a report of two cases

We experienced two cases of placental abnormalities or uterine rupture in patients with systemic lupus erythematosus (SLE), necessitating cesarean hysterectomy and leading to massive hemorrhage that required large transfusions. So we introduced the possibility of abnormal placentation and uterine rupture as well as preeclampsia, preterm labor, and fetal growth restriction needs to be considered in pregnant women with SLE who have been taking steroids, even if low dose, for prolonged periods and who do not have any other risk factors.

Vaginal and Bladder Rupture without Uterine Rupture in Unscarred Uterus

ABSTRACT Introduction Risk of uterine rupture in obstructed labor in grand multipara in developing countries is well documented; however, rupture of vagina involving bladder is uncommon. Below is described a rare case of 30-year-old grand multipara who suffered vaginal rupture associated with bladder rupture rather than uterine rupture during second stage of labor. This case is an important reminder to obstetricians that vaginal rupture can also occur in unscarred uterus without uterine involvement. How to cite this article Garg R, Singh S, Yadav A, Kumar A, Sahu S, Agarwal R. Vaginal and Bladder Rupture without Uterine Rupture in Unscarred Uterus. J South Asian Feder Obst Gynae 2017;9(3):269-270.

Vaginal and Bladder Rupture without Uterine Rupture in Unscarred Uterus

Vaginal and Bladder Rupture without Uterine Rupture in Unscarred Uterus

Silent uterine rupture of unscarred uterus-an unusual presentation.

It is very rare to see rupture of uterus in an unscarred uterus. But in cases of previous abortions or cesarean section or scarred uterus, uterine rupture is seen in few cases. Silent uterine rupture is very rare. If there is fetal demise & presenting part is very high up in pelvis not responding to routine induction, possibility of rupture uterus should be kept in mind. Ultrasound has an important role in the diagnosis of silent uterine rupture. A case of silent uterine rupture of unscarred uterus with fetal demise, that remained undiagnosed for many weeks, is described.

Uterine preservation in placenta percreta complicated by unscarred uterine rupture at second trimester in a patient with repeated molar pregnancies: a case report and brief review of the literature

Placenta-percreta causing uterine rupture in unscarred uterus is a rare obstetric surgical emergency that can cause maternal and perinatal morbidity and mortality. A 25-year-old woman presented with abdominal pain for four days. Previously, she had undergone two suction curettages for complete hydatiform moles. Ultrasound revealed a non-viable fetus with an estimated gestational age of 21 weeks and free fluid and coagulum in the abdominal cavity. An emergency laparotomy was performed because of the acute abdomen. At exploration, the placenta had invaded the entire thickness of the myometrium and the non-viable fetus was in the abdominal cavity. The uterus was closed with a double-layer of interrupted sutures and uterine-sparing surgery was performed. The patient was discharged on postoperative day seven. The authors present a case of placenta-percreta in an unscarred uterus complicated with uterine rupture during the second-trimester that was managed successfully with uterine repair. They also review the literature briefly and discuss similar cases managed conservatively in the second-trimester.

Rupture utérine bilatérale sur utérus gravide non cicatriciel en dehors du travail

We report a case of bilateral spontaneous uterine rupture of an unscarred uterus occured in a primigravida at 32 weeks to take care in our department after in utero transfert. Uterine rupture occurs mainly on scarred uterus during labor. This is an unfrequent but serious complication involving fetal–maternal prognosis in the absence of immediate care. We are conducting a review about spontaneous uterine rupture of unscarred uterus, before and during labor.