Spontaneous rupture of the unscarred uterus

Objective: By presentation of cases of spontaneous (nontraumatic) ruptures of previously intact uteri, we sought to emphasize important aspects of this rare and dangerous event. Study design: Two case presentations of oxytocin-associated unscarred uterine rupture and review of pertinent literature a...

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Bibliographic Details
Published in:American journal of obstetrics and gynecology 1995-06, Vol.172 (6), p.1851-1856
Main Authors: Sweeten, Keri M., Graves, William K., Athanassiou, Achilles
Format: Article
Language:English
Subjects:
Adult
Blood Transfusion
Bradycardia - etiology
Breech Presentation
Female
Fetal Diseases - etiology
Heart Rate, Fetal
Humans
Oxytocin - adverse effects
Parity
Pregnancy
previously intact uterus
Risk Factors
Spontaneous uterine rupture
Uterine Hemorrhage - etiology
Uterine Hemorrhage - therapy
Uterine Rupture - etiology
Uterine Rupture - physiopathology
Version, Fetal
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Summary:Objective: By presentation of cases of spontaneous (nontraumatic) ruptures of previously intact uteri, we sought to emphasize important aspects of this rare and dangerous event. Study design: Two case presentations of oxytocin-associated unscarred uterine rupture and review of pertinent literature are used to study risk factors and accompanying clinical characteristics. Results: Both spontaneous ruptures of previous unscarred uteri were associated with low-dose oxytocin augmentation, bradycardia, and uterine hyperstimulation monitor patterns and occurred at the onset of the second stage of labor. Conclusion: Because of its rarity, further investigation of spontaneous uterine rupture will depend on case presentations where the associated events listed are noted and uterine hyperstimulation, fetal bradycardia, and second-stage onset are proved or disproved as valid clinical associations.
ISSN:0002-9378
1097-6868
DOI:10.1016/0002-9378(95)91422-6