Uterine rupture of the unscarred uterus: A report of 10 cases

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, man...

Full description

Saved in:
Bibliographic Details
Published in:Gynécologie, obstétrique, fertilité & sénologie obstétrique, fertilité & sénologie, 2018-11, Vol.46 (10-11), p.692-695
Main Authors: Mulot, S, Thibon, P, Rikelman, S, Andre, M, Dreyfus, M, Benoist, G
Format: Article
Language:fre
Subjects:
Adult
Cesarean Section
Female
Fetal Death - etiology
Gestational Age
Hospitals, Maternity
Humans
Infant, Newborn
Maternal Death
Postpartum Hemorrhage - etiology
Pregnancy
Pregnancy Outcome
Pregnancy Trimester, Third
Prognosis
Retrospective Studies
Shock, Hemorrhagic - etiology
Uterine Rupture - mortality
Uterine Rupture - surgery
Online Access:Get full text
Tags: Add Tag
No Tags, Be the first to tag this record!
Description
Summary: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. Descriptive retrospective study within 13 maternity hospitals, reporting 10 series of cases of uterine rupture on gravid healthy uterus during the third trimester of pregnancy. The incidence was 2.8/100,000 births. Surgical treatment was conservative in 9 out of 10 cases, the maternal prognosis was good with no maternal deaths and 6 out of 7 patients had at least one subsequent pregnancy. The fetal prognosis was more reserved, with 2 fetal or neonatal deaths and 1 with motor disability. 6/6 patients (100%) had at least one iterative Caesarean section during the following pregnancies with healthy fetuses. In this series of 10 cases over 25years, maternal-fetal morbidity and mortality were significant, in agreement with the literature. Maternal prognosis remained favorable. When surgical treatment is conservative a subsequent pregnancy is possible and an iterative cesarean section must be performed.
ISSN:2468-7189
DOI:10.1016/j.gofs.2018.09.007