Unexpected Uterine Rupture: A Case Series and Review of Literature
Unscarred uterine rupture is rare and disastrous for the mother and the foetus. It has been reported in each trimester of pregnancy and its presentation varies from silent uterine rupture to haemorrhagic shock. It may occur in prelabour stage, second stage or even in fourth stage of labour causing u...
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| Format: | Article |
| Language: | English |
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JCDR Research and Publications Private Limited
2018-07-01
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| Series: | Journal of Clinical and Diagnostic Research |
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| Online Access: | https://jcdr.net/articles/PDF/11783/32189_CE[Ra1]_F(SL)PF1_(SH_AnG)_PFA(AnG)_PN(AP).pdf |
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| author | Sunita Dubey Jyotsna Rani Mohit Satodiya |
| author_facet | Sunita Dubey Jyotsna Rani Mohit Satodiya |
| author_sort | Sunita Dubey |
| collection | DOAJ |
| description | Unscarred uterine rupture is rare and disastrous for the mother and the foetus. It has been reported in each trimester of pregnancy and its presentation varies from silent uterine rupture to haemorrhagic shock. It may occur in prelabour stage, second stage or even in fourth stage of labour causing uncontrolled postpartum haemorrhage. Here, we report 4 cases of unscarred uterine rupture during labour. First case was of gravida 3, para 2 who came in shock following failed attempt of forceps application during second stage of labour. Laparotomy revealed uterine rupture with dead foetus. Second case was of gravida 2 para 1 who was referred in view of deep transverse arrest but she went into shock and uterine rupture was confirmed on laparotomy with delivery of an alive baby with poor APGAR score. Third case was of a primigravida who had cessation of uterine contraction after applying fundal pressure. Clinically, she was diagnosed with rupture uterus that was confirmed on laparotomy with delivery of still born baby. Fourth case was of a primigravida who was induced with misoprostol. She had foetal bradycardia followed by cessation of uterine contractions during second stage of labour. On laparotomy she had uterine rupture and a still born baby was delivered. All these cases were survived as a result of timely diagnosis and immediate laparotomy. All of them received multiple blood transfusions and discharged in satisfactory condition. High index of suspicion of an unscarred uterine rupture should be kept in mind irrespective of trimester or phase of labour. Immediate action must be taken to prevent major maternal and foetal morbidity. |
| first_indexed | 2024-12-22T13:44:19Z |
| format | Article |
| id | doaj.art-cb1f66ec5ffc418a9033d857ef649454 |
| institution | Directory Open Access Journal |
| issn | 2249-782X 0973-709X |
| language | English |
| last_indexed | 2024-12-22T13:44:19Z |
| publishDate | 2018-07-01 |
| publisher | JCDR Research and Publications Private Limited |
| record_format | Article |
| series | Journal of Clinical and Diagnostic Research |
| spelling | doaj.art-cb1f66ec5ffc418a9033d857ef6494542022-12-21T18:23:50ZengJCDR Research and Publications Private LimitedJournal of Clinical and Diagnostic Research2249-782X0973-709X2018-07-01127QR01QR0310.7860/JCDR/2018/32189.11783Unexpected Uterine Rupture: A Case Series and Review of LiteratureSunita Dubey0Jyotsna Rani1Mohit Satodiya2Assistant Professor, Department of Obstetrics and Gynaecology, Government Medical College and Hospital, Chandigarh, India.Senior Research Associate, Department of Obstetrics and Gynaecology, Government Medical College and Hospital, Chandigarh, India.Senior Resident, Department of Obstetrics and Gynaecology, Government Medical College and Hospital, Chandigarh, India.Unscarred uterine rupture is rare and disastrous for the mother and the foetus. It has been reported in each trimester of pregnancy and its presentation varies from silent uterine rupture to haemorrhagic shock. It may occur in prelabour stage, second stage or even in fourth stage of labour causing uncontrolled postpartum haemorrhage. Here, we report 4 cases of unscarred uterine rupture during labour. First case was of gravida 3, para 2 who came in shock following failed attempt of forceps application during second stage of labour. Laparotomy revealed uterine rupture with dead foetus. Second case was of gravida 2 para 1 who was referred in view of deep transverse arrest but she went into shock and uterine rupture was confirmed on laparotomy with delivery of an alive baby with poor APGAR score. Third case was of a primigravida who had cessation of uterine contraction after applying fundal pressure. Clinically, she was diagnosed with rupture uterus that was confirmed on laparotomy with delivery of still born baby. Fourth case was of a primigravida who was induced with misoprostol. She had foetal bradycardia followed by cessation of uterine contractions during second stage of labour. On laparotomy she had uterine rupture and a still born baby was delivered. All these cases were survived as a result of timely diagnosis and immediate laparotomy. All of them received multiple blood transfusions and discharged in satisfactory condition. High index of suspicion of an unscarred uterine rupture should be kept in mind irrespective of trimester or phase of labour. Immediate action must be taken to prevent major maternal and foetal morbidity.https://jcdr.net/articles/PDF/11783/32189_CE[Ra1]_F(SL)PF1_(SH_AnG)_PFA(AnG)_PN(AP).pdfhaemoperitoneumperipartum hysterectomypostpartum haemorrhageunscarred uterine rupture |
| spellingShingle | Sunita Dubey Jyotsna Rani Mohit Satodiya Unexpected Uterine Rupture: A Case Series and Review of Literature Journal of Clinical and Diagnostic Research haemoperitoneum peripartum hysterectomy postpartum haemorrhage unscarred uterine rupture |
| title | Unexpected Uterine Rupture: A Case Series and Review of Literature |
| title_full | Unexpected Uterine Rupture: A Case Series and Review of Literature |
| title_fullStr | Unexpected Uterine Rupture: A Case Series and Review of Literature |
| title_full_unstemmed | Unexpected Uterine Rupture: A Case Series and Review of Literature |
| title_short | Unexpected Uterine Rupture: A Case Series and Review of Literature |
| title_sort | unexpected uterine rupture a case series and review of literature |
| topic | haemoperitoneum peripartum hysterectomy postpartum haemorrhage unscarred uterine rupture |
| url | https://jcdr.net/articles/PDF/11783/32189_CE[Ra1]_F(SL)PF1_(SH_AnG)_PFA(AnG)_PN(AP).pdf |
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