Uterine Rupture In Primiparus: Case Report
Introduction: Uterine rupture is a serious complication, due to the risk of maternal and perinatal death. In developed countries, this obstetric complication affects 3.5/1,000 women with previous cesarean section and 6/10,000 pregnant women with no story of the operation, with the previous cesare...
Main Authors: | , , , |
---|---|
Format: | Article |
Language: | English |
Published: |
Associação Médica de Minas Gerais
2021-09-01
|
Series: | Revista Médica de Minas Gerais |
Subjects: | |
Online Access: | http://www.rmmg.org/artigo/detalhes/3840 |
Summary: | Introduction: Uterine rupture is a serious complication, due to the risk of
maternal and perinatal death. In developed countries, this obstetric complication
affects 3.5/1,000 women with previous cesarean section and 6/10,000 pregnant
women with no story of the operation, with the previous cesarean section being
the main etiology. Case Report: Pregnant woman, 38 years old, G1P0A0, with
a gestational age of 35 weeks and 5 days, was admitted to the maternity ward
in premature labor. At the physical examination reinforced 3 metrosystoles in
10min/30” 30” 35”, soft and thin cervix, with 3cm dilation, specular examination
with the presence of clear liquid with lumps, broken bag for 6 hours and minor
bleeding for 20 minutes. Cesarean delivery is indicated due to a story of hip
dislocation. The diagnosis of uterine rupture was performed during operative
delivery, with visualization of fetal parts. The case had a benign evolution for the
mother and the newborn, without the occurrence of complications or sequelae,
both were discharged from hospital in perfect health conditions. Discussion:
A complete spontaneous uterine rupture occurred in the third trimester of
pregnancy, without any identifiable underlying risk factors, except for advanced
maternal age (over 35 years). Conclusion: This report contributes to a limited
number of previous events that involve spontaneous rupture of a uterus without
previous scarring in a primigravid patient. |
---|---|
ISSN: | 0103-880X 2238-3182 |