Uterine rupture during pregnancy
Authors:
D. Habeš 1,2; M. Střecha 2; I. Kalousek 1; J. Kestřánek 1
Authors place of work:
Porodnická a gynekologická klinika Fakultní nemocnice, Hradec Králové, přednosta prof. MUDr. J. Špaček, Ph. D., IFEPAG
1; Gynekologické a porodnické oddělení Oblastní nemocnice, Náchod, primář MUDr. M. Střecha
2
Published in the journal:
Ceska Gynekol 2019; 84(5): 345-350
Category:
Přehledový článek a kazuistika
Summary
Objective: A review of contemporary knowledge about uterine rupture during pregnancy, followed by a case-report of a patient with uterine rupture during pregnancy without an uterine scar.
Design: Review and case report.
Setting: Clinic of Obstetrics and Gynecology, University Hospital, Hradec Králové; Department of Gynecology and Obstetrics, Hospital Náchod.
Case report: We present a case of an uterine rupture of a uterus without a scar from previous surgery. A patient in 33. week of pregnancy with stillborn fetus was administred to our hospital. While inducing the labor, the patient showed signes of shock, fetus was no longer present in uterus. An C-section was performed, but the stillborn baby was placed in abdominal cavity, with an abrupted placenta. Large uterine rupture was spotted, therefore a hysterectomy was performed.
Conclusion: Uterine rupture during pregnancy is an urgent state. The incidency of uterine rupture is rising accordingly with the growing number of C-sections. However, it is important to include uterine rupture into differential diagnostics also in cases with other risk factors. The key to successful diagnosis is ultrasound examination and correct evaluation of clinical state, other imaging methods are less suitable because of time delay. Together with the change of major cause of uterine rupture, the approach to treatment has changed as well. If possible, a uterus-saving procedure is preferred. The aim of this case-report is presentation of a rare case of uterine rupture in an scar-free uterus. It also shows how troublesome diagnostics of uterine ruptures can be.
Keywords:
uterine rupture in pregnancy – scar after cesarean section – peripartal hysterectomy
Zdroje
1. Al-Zirqi, I., Stray-Pedersen, B., Forsén, L., et al. Uterine rupture: trends over 40 years. BJOG, 2016, 123(5), p. 780–787.
2. Ayres, AW., Johnson, TRB., Hayashi, R. Characteristics of fetal heart rate tracings prior to uterine rupture, Int J Gynecol Obstet, 2001, 74(3), p. 235–240.
3. Bujold, E., Blackwell, S., Gauthier, R. Cervical ripening with transcervical Foley catheter and the risk of uterine rupture. Obstet Gynecol, 2004, 103, p. 18–23.
4. Caughey, AB., Shipp, TD., Repke, JT., et al. Rate of uterine rupture during a trial of labor in women with one or two prior cesarean deliveries. Am J Obstet Gynecol, 1999, p. 872–876.
5. Chuang-Yaw, C., Szu-Yuan, C., I-Lin, C. Silent uterine rupture in an unscarred uterus. Taiwan J Obstet Gynecol, 2006, 45, p. 250–252.
6. Čech, E., Hájek, Z., Maršál, K., a kol. Porodnictví, 2. vyd., Praha: Grada, 2006, s. 444–446.
7. Delecoura, L., Rudigozabc, RC., Dubernardac, G. Pregnancy and delivery after complete uterine rupture. J Gynecol Obstet Hum Reprod, 2018, 47(1), p. 23–28.
8. Erez, O., Dukler, D., Novack, L., et al. Trial of labor and vaginal birth after cesarean section in patients with uterine Müllerian anomalies: a population-based study. Am J Obstet Gynecol, 2007, p. 537–548.
9. Esposito, M., Menihan, C., Malee, M. Association of interpregnancy interval with uterine scar failure in labor: a case-control study. Am J Obstet Gynecol, 2000, 183, p. 1180–1183.
10. Flamm, BL., Goings, JR., Liu, Y. Elective repeat cesarean delivery versus trial of labor: a prospective multicenter study. Obstet Gynec, 1994, p. 927–932.
11. Hofmeyr, G., Say, L., Gulmezoglu, A. WHO Systematic review of maternal mortality and morbidity: the prevalence of uterine rupture. BJOG, 2005, 112(9), p. 1221–1228.
12. Hruska, KM. Coughlin, BF., Coggins, AA., et al. MRI diagnosis of spontaneous uterine rupture of an unscarred uterus. Emerg Radiol, 2006, p. 186–188.
13. Chibber, R., El-Saleh, E., Al Fadhli, A., et al. Uterine rupture and subsequent pregnancy outcome – how safe is it? A 25-year study. J Matern-Fetal Neonat Med, 2012, 23, p. 421–424.
14. Jastrow, N., Roberge, S., Gauthier, R., et al. Effect of birth weight on adverse obstetric outcomes in vaginal birth after cesarean delivery. Obstet Gynecol, 2010, p. 338–343.
15. Johnson, C., Oriol, N. The role of epidural anesthesia in trial of labor. Reg Anesth, 1990, p. 304–308.
16. Kaczmarczyk, M., Spare, P., Terry, P., et al. Risk factors for uterine rupture and neonatal consequences of uterine rupture: a population-based study of successive pregnancies in Sweden. BJOG, 2007, 114(10), p. 1208–1214.
17. Leung, AS., Leung, EK., Paul, RH. Uterine rupture after previous cesarean delivery: maternal and fetal consequences. Am J Obstet Gynecol, 1993, 163(4), p. 945–950.
18. Lydon-Rochelle, M., Holt, VL., Easterling, TR., et al. Risk of uterine rupture during labor among women with a prior cesarean delivery. N Engl J Med, 2001, p. 3–8.
19. Macones, G., Cahill, A., Pare, E., et al. Obstetric outcomes in women with two prior cesarean deliveries: is vaginal birth after cesarean delivery a viable option? Am J Obstet Gynecol, 2007, 192, p. 1223–1229.
20. Nkwabong, E., Kouam, L., Takang, W. Spontaneous uterine rupture during pregnancy: case report and review of literature. African J Reprod Health, 2007, 11(2), p. 107–112.
21. Pettersson, KW., Grunewald, C., Thomassen, P. Uterine rupture and perinatal outcome. AOGS, 2007, 86(11), 2007, p. 1337–1341.
22. Posthumus, L., Donker, ME. Uterine rupture in a primigravid patient, an uncommon but severe obstetrical event: a case report. J Med Case Reports, 2017, p. 339.
23. Ravasia, DJ., Brain, PH., Pollard, JK. Incidence of uterine rupture among women with müllerian duct anomalies who attempt vaginal birth after cesarean delivery. Am J Obstet Gynecol, 1999, p. 877–881.
24. Szu-Han, Y., Yao-Lung, C., Chih-Feng, Y. Rupture od the scarred and unscarred gravid uterus: outcomes and risk factors analysis. Taiwan J Obstet Gynecol, 2018, p. 248–254.
25. Thakur, A., Heer, MS., Thakur, V., et al. Subtotal hysterectomy for uterine rupture. Int J Gynec Obstet, 2001, 74(1), p. 29–33.
26. Vaknin, Z., Maymon, R., Mendlovic, S., et al. Clinical, sonographic, and epidemiologic features of second- and early third-trimester spontaneous antepartum uterine rupture: a cohort study. Prenatal Diag, 2008, 28(6), p. 478–484.
27. Vandenberghe, G., Bloemenkam, K., Berlage, S., et al. The International Network of Obstetric Survey Systems study of uterine rupture: a descriptive multi-country population – based study. BJOG, 2018, p. 370–381.
28. Vilchez, G., Nazeer, S., Kumar, K., et al. Contemporary epidemiology and novel predictors of uterine rupture: a nationwide population-based study, Arch Gynecol Obstet, 2017, 296(5), p. 869–875.
29. Walsh, CA., O‘Sullivan, RJ., Foley, ME. Unexplained prelabor uterine rupture in a term primigravida. Obstet Gynecol, 2006, p. 725–727.
30. Zelop, C., Shipp, T., Repke, J., et al. Effect of previous vaginal delivery on the risk of uterine rupture during a subsequent trial of labor. Am J Obstet Gynecol, 2000, 183, p. 1184–1186.
31. Zwart, JJ., Richters, JM., de Vries, J., et al. Uterine rupture in the Netherlands: a nationwide population-based cohort study. BJOG, 2009, 16(8), p. 1069–1080.
Štítky
Dětská gynekologie Gynekologie a porodnictví Reprodukční medicínaČlánek vyšel v časopise
Česká gynekologie
2019 Číslo 5
Nejčtenější v tomto čísle
- Syndrom Mayer-Rokitansky-Küster-Hauser – ageneze dělohy a pochvy: aktuální znalosti a terapeutické možnosti
- ERAS protokol u onkogynekologických operací
- Screening preeklampsie v I. trimestru těhotenství
- Ruptura dělohy v graviditě