Precipitous delivery complicated by uterine artery laceration and uterine rupture in an unscarred uterus: A case report
Precipitous delivery is associated with rapid cervical dilation and fetal descent. Complications of precipitous delivery can include vascular trauma, uterine rupture, and uterine artery laceration. Uterine artery laceration is a rare complication that can lead to significant postpartum hemorrhage an...
| Main Authors: | , , , , |
|---|---|
| Format: | Article |
| Language: | English |
| Published: |
Elsevier
2022-10-01
|
| Series: | Case Reports in Women's Health |
| Subjects: | |
| Online Access: | http://www.sciencedirect.com/science/article/pii/S2214911222000534 |
| _version_ | 1811293239351705600 |
|---|---|
| author | Stacey Chung Khadija Alshowaikh Tamar Yacoel Kanchi Chadha Antonia P. Francis |
| author_facet | Stacey Chung Khadija Alshowaikh Tamar Yacoel Kanchi Chadha Antonia P. Francis |
| author_sort | Stacey Chung |
| collection | DOAJ |
| description | Precipitous delivery is associated with rapid cervical dilation and fetal descent. Complications of precipitous delivery can include vascular trauma, uterine rupture, and uterine artery laceration. Uterine artery laceration is a rare complication that can lead to significant postpartum hemorrhage and injury. Careful evaluation for trauma and aggressive resuscitation are critical to prevent maternal morbidity and mortality. This is a case report of a 39-year-old woman, gravida 2 para 1, at 39 weeks of gestation who delivered after induction of labor due to chronic hypertension. Her labor course was precipitous and complicated by uterine rupture and uterine artery laceration with postpartum hemorrhage that required massive transfusion, exploratory laparotomy with a supracervical hysterectomy, and interventional radiology for uterine and cervical artery embolization. This seems to be the first published case report of precipitous delivery associated with uterine artery laceration and uterine rupture. Thorough evaluation after precipitous delivery is critical to decrease maternal morbidity and mortality secondary to uterine artery injury. |
| first_indexed | 2024-04-13T04:58:28Z |
| format | Article |
| id | doaj.art-eb8827b360504ad89d055bc92fc62e4f |
| institution | Directory Open Access Journal |
| issn | 2214-9112 |
| language | English |
| last_indexed | 2024-04-13T04:58:28Z |
| publishDate | 2022-10-01 |
| publisher | Elsevier |
| record_format | Article |
| series | Case Reports in Women's Health |
| spelling | doaj.art-eb8827b360504ad89d055bc92fc62e4f2022-12-22T03:01:25ZengElsevierCase Reports in Women's Health2214-91122022-10-0136e00433Precipitous delivery complicated by uterine artery laceration and uterine rupture in an unscarred uterus: A case reportStacey Chung0Khadija Alshowaikh1Tamar Yacoel2Kanchi Chadha3Antonia P. Francis4Hackensack Meridian School of Medicine, 123 Metro Blvd, Nutley, NJ 07110, USA; Corresponding author.Obstetrics, Gynecology & Reproductive Sciences, Yale School of Medicine, 333 Cedar St, New Haven, CT 06510, USAHackensack Meridian School of Medicine, 123 Metro Blvd, Nutley, NJ 07110, USA; Department of Obstetrics and Gynecology, Hackensack University Medical Center, 30 Prospect Ave, Hackensack, NJ 07601, USAHackensack Meridian School of Medicine, 123 Metro Blvd, Nutley, NJ 07110, USA; Department of Obstetrics and Gynecology, Hackensack University Medical Center, 30 Prospect Ave, Hackensack, NJ 07601, USAHackensack Meridian School of Medicine, 123 Metro Blvd, Nutley, NJ 07110, USA; Department of Obstetrics and Gynecology, Hackensack University Medical Center, 30 Prospect Ave, Hackensack, NJ 07601, USAPrecipitous delivery is associated with rapid cervical dilation and fetal descent. Complications of precipitous delivery can include vascular trauma, uterine rupture, and uterine artery laceration. Uterine artery laceration is a rare complication that can lead to significant postpartum hemorrhage and injury. Careful evaluation for trauma and aggressive resuscitation are critical to prevent maternal morbidity and mortality. This is a case report of a 39-year-old woman, gravida 2 para 1, at 39 weeks of gestation who delivered after induction of labor due to chronic hypertension. Her labor course was precipitous and complicated by uterine rupture and uterine artery laceration with postpartum hemorrhage that required massive transfusion, exploratory laparotomy with a supracervical hysterectomy, and interventional radiology for uterine and cervical artery embolization. This seems to be the first published case report of precipitous delivery associated with uterine artery laceration and uterine rupture. Thorough evaluation after precipitous delivery is critical to decrease maternal morbidity and mortality secondary to uterine artery injury.http://www.sciencedirect.com/science/article/pii/S2214911222000534Precipitous labor and deliveryUterine ruptureUterine artery lacerationPostpartum hemorrhage |
| spellingShingle | Stacey Chung Khadija Alshowaikh Tamar Yacoel Kanchi Chadha Antonia P. Francis Precipitous delivery complicated by uterine artery laceration and uterine rupture in an unscarred uterus: A case report Case Reports in Women's Health Precipitous labor and delivery Uterine rupture Uterine artery laceration Postpartum hemorrhage |
| title | Precipitous delivery complicated by uterine artery laceration and uterine rupture in an unscarred uterus: A case report |
| title_full | Precipitous delivery complicated by uterine artery laceration and uterine rupture in an unscarred uterus: A case report |
| title_fullStr | Precipitous delivery complicated by uterine artery laceration and uterine rupture in an unscarred uterus: A case report |
| title_full_unstemmed | Precipitous delivery complicated by uterine artery laceration and uterine rupture in an unscarred uterus: A case report |
| title_short | Precipitous delivery complicated by uterine artery laceration and uterine rupture in an unscarred uterus: A case report |
| title_sort | precipitous delivery complicated by uterine artery laceration and uterine rupture in an unscarred uterus a case report |
| topic | Precipitous labor and delivery Uterine rupture Uterine artery laceration Postpartum hemorrhage |
| url | http://www.sciencedirect.com/science/article/pii/S2214911222000534 |
| work_keys_str_mv | AT staceychung precipitousdeliverycomplicatedbyuterinearterylacerationanduterineruptureinanunscarreduterusacasereport AT khadijaalshowaikh precipitousdeliverycomplicatedbyuterinearterylacerationanduterineruptureinanunscarreduterusacasereport AT tamaryacoel precipitousdeliverycomplicatedbyuterinearterylacerationanduterineruptureinanunscarreduterusacasereport AT kanchichadha precipitousdeliverycomplicatedbyuterinearterylacerationanduterineruptureinanunscarreduterusacasereport AT antoniapfrancis precipitousdeliverycomplicatedbyuterinearterylacerationanduterineruptureinanunscarreduterusacasereport |