Uterine Rupture
Vaginal Birth after Cesarean
Trial of Labor
Cesarean Section, Repeat
Labor, Induced
Obstetric Surgical Procedures
Vernix Caseosa
Placenta Accreta
Yemen
Pregnancy
Splenic Rupture
Aortic Rupture
Heart Rupture
Gynatresia
Oxytocics
Pregnancy Complications
Obstetric Labor Complications
Leiomyoma
Pregnancy Outcome
Oxytocin
Labor, Obstetric
Heart Rupture, Post-Infarction
Maternal Mortality
Fetal Membranes, Premature Rupture
Delivery, Obstetric
Laparoscopy
Malpractice
Lawyers
Liability, Legal
Primary repair of cornual rupture occurring at 21 weeks gestation and successful pregnancy outcome. (1/109)
The successful delivery in a 31 year old woman at 33 weeks gestation is reported, after repair to a cornual rupture which occurred at 21 weeks gestation. The patient exhibited acute abdominal pain and pending shock. Emergency laparotomy showed a cornual rupture and an intrauterine vital fetus having intact amnion membrane. On the patient's family's insistence, primary repair for a cornual rupture was performed and preservation of the fetus attempted. Postoperatively, tocolytic agent with ritodrine hydrochloride was administered and close follow-up of the patient was uneventful. The patient had a smooth obstetric course until 33 weeks gestation when premature rupture of the membranes occurred, soon followed by the onset of labour. She underwent an elective Caesarean section and delivered a normal male fetus weighing 2140 g with Apgar scores at 1, 5 and 10 min of 6, 8, and 9 respectively. Because of this successful outcome, we suggest that primary repair for such an unusual patient should be accepted. (+info)Spontaneous bilateral cornual uterine dehiscence early in the second trimester after bilateral laparoscopic salpingectomy and in-vitro fertilization: case report. (2/109)
A bilateral cornual uterine dehiscence is reported, which occurred 14 weeks after in-vitro fertilization (IVF) in a patient having a medical history of previous bilateral salpingectomy via laparoscopy. Uterine rupture is a rare obstetric complication usually occurring during the third trimester of pregnancy within a uterus which has previously undergone an operation. Ectopic pregnancy is a well known complication of IVF. Post-salpingectomy cornual localization with rupture has also been published. Possible causes are discussed and the attention of the counselling physician is directed to the necessary awareness of such a complication in this high risk population. The reported case is an extreme rarity: a similar case has not been previously published in the literature. (+info)Pregnancy outcome and deliveries following laparoscopic myomectomy. (3/109)
Uterine rupture after myomectomy by laparotomy is not a common occurrence. Some case reports of uterine rupture after laparoscopic myomectomy (LM) raise the question of the quality of the uterine scar produced when this technique is performed. In order to assess the outcome of pregnancies and deliveries after LM and to assess the risk of uterine rupture, we performed an observational study. Questionnaires were mailed to all women who had had LM for at least one intramural or subserosal myoma of more than 20 mm diameter and who were aged <45 years. Ninety-eight patients became pregnant at least once after LM, giving a total of 145 pregnancies. Among the 100 patients who had delivery, there were three cases of spontaneous uterine rupture. Because only one of these uterine ruptures occurred on the LM scar, the risk of uterine rupture was 1.0% (95% CI 0.0-5. 5%). Seventy-two patients (72.0%) had trials of labour. Of these, 58 (80.6%) were delivered vaginally. There was no uterine rupture during the trials of labour. Spontaneous uterine rupture seems to be rare after LM. This risk should not deter the use of LM if needed. When performing LM, particular care must be given to the uterine closure. (+info)Use of hospital discharge data to monitor uterine rupture--Massachusetts, 1990-1997. (4/109)
Uterine rupture (UR), a potentially life-threatening condition for both mother and infant, occurs in <0.1% of all pregnant women and <1% of women attempting vaginal birth after cesarean section (VBAC) (1-4). During 1990-1997, the proportion of vaginal deliveries among women who had previous cesarean sections (CS) in Massachusetts increased 50%, from 22.3% to 33.5% (5). Concern about a corresponding increase in UR prompted the Massachusetts Department of Public Health and CDC to initiate a state-wide investigation that included an assessment of the validity and reliability of International Classification of Diseases, Ninth Revision, Clinical Modification (ICD-9-CM) (6), codes in hospital discharge data to identify UR cases. This report summarizes the results of the investigation, which indicate that ICD-9-CM codes related to UR, designed before increased concern about UR, lack adequate specificity for UR surveillance and have not been applied consistently over time. (+info)Posterior uterine wall rupture during labour. (5/109)
Vaginal births after Caesarean section (VBAC) are well-accepted procedures when pregnant women do not have any contra-indications. The possibilities of the uterine dehisence and rupture during VBAC should always be considered. This occurrence is usually related to the previous scar tissue and subsequent risk is acceptable. Nevertheless, rupture that occurs in presumably normal tissue areas of the uterus instead of in scar tissue areas with resultant perinatal death is extremely rare. We present a 31 year old woman who had posterior uterine rupture when she tried VBAC at 38 weeks gestation. During the course of VBAC, she had a smooth labour course without use of any augmentation medication, but her condition was complicated with uterine rupture without any premonitory signal. It resulted in maternal shock and sequentially the death of the newborn 7 days after delivery. By reviewing this case report, we should keep in mind that prompt response to every woman during labour is of paramount importance to avoid repeating the occurrence of uterine rupture, partly because uterine rupture could occur without prominent signals and partly because subsequent dangers seem to be those created by acts of omission. Finally, the benefits and safety of VBAC have not been undermined because this patient is an isolated and extremely rare case. (+info)Rupture of left horn of bicornuate uterus at twenty weeks of gestation. (6/109)
Rupture uterus in nulliparous patients is generally associated with mullerian anomalies. A case of 23 years primigravida with 19 weeks gestation presenting with features of rupture is reported here. Ultrasound helped in the diagnosis of left horn of bicornuate uterus. After exploration, right ruptured horn was excised. The incidence, diagnosis and management of such cases is discussed. (+info)Rupture of a cesarean-scarred uterus: a community hospital experience. (7/109)
Concerns that a scarred uterus may rupture during labor have contributed to increased cesarean rates. A previous cesarean has become one of the most common indications for abdominal birth. More women must deliver vaginally after cesarean if we are to reduce cesarean rates. This study evaluates the effect of decreasing cesarean rates and increased vaginal birth after cesarean (VBAC) rates on the incidence of uterine rupture in a community hospital. We studied data for women who delivered at our obstetrical unit from 1988 through 1997. During 1994 our department adopted strategies to reduce cesarean rates. Data from women who delivered from 1988 through 1993 (period A, before the policy change) were compared with data for those who delivered from 1994 through 1997 (period B, after the policy change) and evaluated by chi-square analysis. p < 0.05 was considered significant. The total cesarean rate decreased from 24.3% (period A) to 17.9% (period B) (p < 0.0001), whereas the primary cesarean rate decreased from 14.9% to 10.3% (p < 0.0001), and the repeat rate decreased from 9.4% to 7.6% (p < 0.0001). The VBAC rate increased from 13.0 to 28.6 (p < 0.0001), whereas the incidence of uterine rupture did not change. During the study period, the cesarean rate decreased while the VBAC rate safely increased. The incidence of uterine rupture remained unchanged. (+info)Laparoscopic myomectomy and subsequent pregnancy: results in 54 patients. (8/109)
The laparoscopic approach to myomectomy has raised questions about the risk of uterine rupture in patients who become pregnant following surgery. It has been suggested that the rupture outside labour in pregnancies following laparoscopic myomectomy can be due to the difficulty of suturing or to the presence of a haematoma or to the wide use of radio frequencies. In this paper we describe the pregnancy outcome of 54 patients submitted to laparoscopic myomectomy at our Institution and prospectively followed during subsequent pregnancies. A total of 202 patients underwent laparoscopic myomectomy. A total of 65 pregnancies occurred in 54 patients who became pregnant following surgery. Data were collected about complications of pregnancy, mode of delivery, gestational age at delivery and birthweight of the neonates. No cases of uterine rupture occurred. Twenty-one pregnancies followed an IVF procedure. Nine patients conceived twice and one three times. Four multiple pregnancies occurred. Eight pregnancies resulted in a first trimester miscarriage and another in an interstitial pregnancy requiring laparotomic removal of the cornual gestational sac. Of the remaining 56 pregnancies, 51 (91%) were uneventful. In two cases a cerclage was performed at 16 weeks. In two cases pregnancy-induced hypertension developed. Two pregnancies ended with a preterm labour (26-36 weeks). A Caesarean section was performed in 45 cases (54/57, 80%). In terms of the safety of laparoscopic myomectomy in patients who become pregnant following surgery, our results were encouraging. However, further studies are needed to provide reliable data on the risk factors and the true incidence of uterine rupture. (+info)Uterine rupture is a serious obstetrical complication characterized by the disruption or tearing of all layers of the uterine wall, including the serosa (outer covering), myometrium (middle layer of muscle), and endometrium (inner lining). This can occur during pregnancy, labor, or delivery. In some cases, it may also involve the rupture of the adjacent structures such as bladder or broad ligament. Uterine rupture is a medical emergency that requires immediate surgical intervention to prevent maternal and fetal mortality or morbidity.
The symptoms of uterine rupture might include severe abdominal pain, vaginal bleeding, loss of fetal heart rate, changes in the mother's vital signs, and shock. The risk factors for uterine rupture include previous cesarean delivery, grand multiparity (having given birth to five or more pregnancies), use of labor-inducing drugs like oxytocin, and instrumental deliveries with vacuum extractors or forceps.
The management of uterine rupture typically involves an emergency laparotomy (open abdominal surgery) to repair the tear and stop any bleeding. In some cases, a hysterectomy (removal of the uterus) may be necessary if the damage is too severe or if there are other complications. The prognosis for both mother and baby depends on various factors like the extent of the injury, timeliness of treatment, and the overall health status of the patient before the event.
Vaginal Birth after Cesarean (VBAC) is a medical term used to describe a woman's successful childbirth through the vagina after she has previously given birth via cesarean section. The process involves the mother going into labor naturally or being induced, and delivering the baby through the birth canal. VBAC is often pursued as a means to avoid the risks associated with repeat cesarean deliveries, such as infection, blood loss, and surgical complications. However, it's important to note that VBAC carries its own set of risks, including uterine rupture, which can be life-threatening for both mother and baby. As a result, careful consideration and consultation with healthcare providers are necessary before making a decision about attempting a VBAC.
A "trial of labor" (ToL) is a medical term used to describe the attempt to deliver a baby vaginally, without the use of a cesarean section (C-section), after a previous C-section delivery. It's also sometimes referred to as "VBAC" (vaginal birth after cesarean). The decision to undergo a trial of labor is made after considering several factors, including the reason for the prior C-section, the woman's overall health and pregnancy complications, if any.
During a trial of labor, the healthcare provider will monitor both the mother and the baby closely for signs of distress or other complications that might require an emergency C-section. The success rate of a trial of labor varies depending on several factors, including the number of previous C-sections, the reason for those C-sections, and whether there are any additional risk factors present in the current pregnancy.
It's important to note that while a trial of labor can be successful and result in a vaginal delivery, it also carries some risks, such as the possibility of uterine rupture, which is a serious complication that requires immediate medical attention. Therefore, the decision to undergo a trial of labor should be made carefully and discussed thoroughly with a healthcare provider.
A uterine myomectomy is a surgical procedure that involves removing uterine fibroids, which are noncancerous growths that develop in the muscular wall of the uterus. The surgery aims to preserve the uterus, unlike a hysterectomy, where the entire uterus is removed.
During the myomectomy procedure, the surgeon makes an incision in the uterus, carefully extracts the fibroids, and then closes the incision. The approach to the surgery can vary depending on factors such as the size, number, and location of the fibroids:
1. Abdominal myomectomy: An open surgical procedure where an incision is made in the lower abdomen to access the uterus directly. This method is typically used when there are numerous or large fibroids.
2. Laparoscopic myomectomy: A minimally invasive procedure that involves making several small incisions in the abdomen, through which a laparoscope (a thin, lighted tube with a camera) and specialized surgical instruments are inserted to perform the surgery. This method is often preferred for smaller fibroids and when preserving the uterus is essential.
3. Hysteroscopic myomectomy: Another minimally invasive procedure that involves inserting a hysteroscope through the cervix into the uterine cavity to remove submucosal fibroids (fibroids that grow into the inner cavity of the uterus). No abdominal incisions are required for this approach.
Recovery time and postoperative discomfort will vary depending on the type of myomectomy performed, but generally, minimally invasive procedures result in quicker recoveries and fewer complications compared to open surgeries.
A rupture, in medical terms, refers to the breaking or tearing of an organ, tissue, or structure in the body. This can occur due to various reasons such as trauma, injury, increased pressure, or degeneration. A ruptured organ or structure can lead to serious complications, including internal bleeding, infection, and even death, if not treated promptly and appropriately. Examples of ruptures include a ruptured appendix, ruptured eardrum, or a ruptured disc in the spine.
A "repeat cesarean section" is a medical term that refers to the delivery of a fetus through surgical incision in the abdominal and uterine walls, which has been performed previously. It is also known as a "classical repeat cesarean delivery." This procedure may be recommended when vaginal birth poses potential risks to the mother or the baby, such as in cases of placenta previa, previous classical uterine incision, or multiple pregnancies. The decision for a repeat cesarean section is typically made after considering various factors, including the patient's medical history, current pregnancy status, and personal preferences.
Induced labor refers to the initiation of labor before it begins spontaneously, which is usually achieved through medical intervention. This process is initiated when there is a medically indicated reason to deliver the baby, such as maternal or fetal compromise, prolonged pregnancy, or reduced fetal movement. The most common methods used to induce labor include membrane stripping, prostaglandin administration, and oxytocin infusion. It's important to note that induced labor carries certain risks, including a higher chance of uterine hyperstimulation, infection, and the need for assisted vaginal delivery or cesarean section. Therefore, it should only be performed under the close supervision of a healthcare provider in a clinical setting.
A Cesarean section, often referred to as a C-section, is a surgical procedure used to deliver a baby. It involves making an incision through the mother's abdomen and uterus to remove the baby. This procedure may be necessary when a vaginal delivery would put the mother or the baby at risk.
There are several reasons why a C-section might be recommended, including:
* The baby is in a breech position (feet first) or a transverse position (sideways) and cannot be turned to a normal head-down position.
* The baby is too large to safely pass through the mother's birth canal.
* The mother has a medical condition, such as heart disease or high blood pressure, that could make vaginal delivery risky.
* The mother has an infection, such as HIV or herpes, that could be passed to the baby during a vaginal delivery.
* The labor is not progressing and there are concerns about the health of the mother or the baby.
C-sections are generally safe for both the mother and the baby, but like any surgery, they do carry some risks. These can include infection, bleeding, blood clots, and injury to nearby organs. In addition, women who have a C-section are more likely to experience complications in future pregnancies, such as placenta previa or uterine rupture.
If you have questions about whether a C-section is necessary for your delivery, it's important to discuss your options with your healthcare provider.
Obstetric surgical procedures are operations that are performed on the female reproductive system during pregnancy, labor, delivery, or after childbirth to address various medical conditions and complications. Some common obstetric surgical procedures include:
1. Cesarean section (C-section): A surgical delivery of a baby through incisions in the abdomen and uterus.
2. Induction of labor: The use of medication or other methods to stimulate labor.
3. Dilation and curettage (D&C): A procedure to remove tissue from the uterus using a thin, sharp instrument called a curette.
4. Hysterectomy: The surgical removal of the uterus.
5. Myomectomy: The surgical removal of fibroids, which are noncancerous growths in the muscular wall of the uterus.
6. Ovarian cystectomy: The surgical removal of a cyst from the ovary.
7. Tubal ligation: A permanent form of birth control in which the fallopian tubes are tied, cut, or sealed to prevent pregnancy.
8. Ectopic pregnancy surgery: Removal of an ectopic pregnancy, which is a pregnancy that develops outside of the uterus, usually in the fallopian tube.
These procedures may be necessary to save the life of the mother or baby, to treat medical conditions, or to prevent future complications. They should only be performed by trained medical professionals in a hospital setting.
Vernix caseosa is a medical term that refers to the white, cheesy, protective substance covering the skin of a newborn baby. It is composed of sebum (oil produced by the baby's sebaceous glands), dead skin cells, and water. This natural emollient provides a barrier against bacterial invasion and helps keep the baby's skin moisturized and supple. Vernix caseosa begins to form around the 20th week of gestation and is more abundant in premature infants than those born at term. It is typically washed off after birth, but some hospitals and midwives recommend leaving it on as long as possible due to its protective properties.
Placenta accreta is a medical condition where the placenta grows too deeply into the uterine wall, beyond the normal depth. In a healthy pregnancy, the placenta attaches to the uterus and provides oxygen and nutrients to the growing fetus through the umbilical cord. However, in placenta accreta, the placental tissue invades the muscle of the uterus, which can cause complications during childbirth.
There are three types of placenta accreta:
1. Placenta Accreta: The placenta attaches too deeply into the uterine wall but does not penetrate the uterine muscle.
2. Placenta Increta: The placenta grows into and partially penetrates the uterine muscle.
3. Placenta Percreta: The placenta fully penetrates the uterine muscle and can grow into nearby organs, such as the bladder or bowel.
Placenta accreta is a serious condition that can cause severe bleeding during childbirth, which may require an emergency hysterectomy (removal of the uterus) to control the bleeding. It is more common in women who have had previous cesarean sections or other uterine surgeries.
A myoma, also known as a leiomyoma or fibroid, is a benign (noncancerous) tumor that originates from the smooth muscle cells in the wall of a visceral organ. The term "myoma" is often used to describe these growths when they occur in the uterus, where they are typically referred to as uterine fibroids. Uterine fibroids can vary in size, shape, and location within the uterine wall. They are quite common, especially among women of reproductive age, and may not always cause symptoms. However, in some cases, they can lead to issues such as heavy menstrual bleeding, pelvic pain, or infertility. Myomas can also occur in other organs, like the gastrointestinal tract, but they are most frequently found in the uterus.
I'm sorry for any confusion, but "Yemen" is not a medical term. It is a country located in the southern part of the Arabian Peninsula in Western Asia. If you have any questions about medical conditions, treatments, or health-related topics, I would be happy to help with those!
Pregnancy is a physiological state or condition where a fertilized egg (zygote) successfully implants and grows in the uterus of a woman, leading to the development of an embryo and finally a fetus. This process typically spans approximately 40 weeks, divided into three trimesters, and culminates in childbirth. Throughout this period, numerous hormonal and physical changes occur to support the growing offspring, including uterine enlargement, breast development, and various maternal adaptations to ensure the fetus's optimal growth and well-being.
A splenic rupture is a medical condition characterized by a tear or complete breakage in the spleen, leading to the release of blood into the abdominal cavity. The spleen is a soft, fist-shaped organ located in the upper left part of the abdomen, which plays an essential role in filtering the blood and fighting infections.
Splenic rupture can occur as a result of trauma, such as a car accident or a direct blow to the abdomen, or it may develop spontaneously due to underlying medical conditions, such as cancer, infection, or inflammatory diseases. The severity of the rupture can vary from a small tear to a complete shattering of the spleen, leading to significant bleeding and potentially life-threatening complications.
Symptoms of splenic rupture may include sudden, severe pain in the left upper abdomen or shoulder, lightheadedness, dizziness, shortness of breath, rapid heartbeat, and decreased blood pressure. If left untreated, a splenic rupture can lead to shock, organ failure, and even death. Treatment typically involves surgery to remove the spleen (splenectomy) or repair the damage, followed by close monitoring and supportive care to manage any complications.
Aortic rupture is a medical emergency that refers to the tearing or splitting of the aorta, which is the largest and main artery in the body. The aorta carries oxygenated blood from the heart to the rest of the body. An aortic rupture can lead to life-threatening internal bleeding and requires immediate medical attention.
There are two types of aortic ruptures:
1. Aortic dissection: This occurs when there is a tear in the inner lining of the aorta, allowing blood to flow between the layers of the aortic wall. This can cause the aorta to bulge or split, leading to a rupture.
2. Thoracic aortic aneurysm rupture: An aneurysm is a weakened and bulging area in the aortic wall. When an aneurysm in the thoracic aorta (the part of the aorta that runs through the chest) ruptures, it can cause severe bleeding and other complications.
Risk factors for aortic rupture include high blood pressure, smoking, aging, family history of aortic disease, and certain genetic conditions such as Marfan syndrome or Ehlers-Danlos syndrome. Symptoms of an aortic rupture may include sudden severe chest or back pain, difficulty breathing, weakness, sweating, and loss of consciousness. Treatment typically involves emergency surgery to repair the aorta and control bleeding.
A heart rupture, also known as cardiac rupture, is a serious and life-threatening condition that occurs when there is a tear or hole in the muscle wall of the heart. This can happen as a result of a severe injury to the heart, such as from a car accident or a fall, or it can occur as a complication of a heart attack.
During a heart attack, blood flow to a portion of the heart is blocked, causing the heart muscle to become damaged and die. If the damage is extensive, the weakened heart muscle may rupture, leading to bleeding into the pericardial sac (the space surrounding the heart) or into one of the heart chambers.
A heart rupture can cause sudden cardiac arrest and death if not treated immediately. Symptoms of a heart rupture may include chest pain, shortness of breath, rapid heartbeat, and loss of consciousness. Treatment typically involves emergency surgery to repair or replace the damaged portion of the heart.
Gynatresia is not a recognized medical term. However, it seems like you might be looking for the definition of "agATRESia," which is a term used in anatomy and medicine. Atresia refers to the congenital absence or closure of a natural body opening, canal, or lumen. So, when we add "a" before atresia, it becomes a specific type of atresia that occurs in female genitalia.
agenital atresia (also known as agATRESia): A congenital abnormality where there is an absence or closure of the vaginal opening, which may also include the absence of the uterus and/or cervix. This condition can vary in severity and may require surgical intervention to correct.
Oxytocics are a class of medications that stimulate the contraction of uterine smooth muscle. They are primarily used in obstetrics to induce or augment labor, and to control bleeding after childbirth. Oxytocin is the most commonly used oxytocic and is naturally produced by the posterior pituitary gland. Synthetic forms of oxytocin, such as Pitocin, are often used in medical settings to induce labor or reduce postpartum bleeding. Other medications with oxytocic properties include ergometrine and methylergometrine. It's important to note that the use of oxytocics should be monitored carefully as overuse can lead to excessive uterine contractions, which may compromise fetal oxygenation and increase the risk of uterine rupture.
Pregnancy complications refer to any health problems that arise during pregnancy which can put both the mother and the baby at risk. These complications may occur at any point during the pregnancy, from conception until childbirth. Some common pregnancy complications include:
1. Gestational diabetes: a type of diabetes that develops during pregnancy in women who did not have diabetes before becoming pregnant.
2. Preeclampsia: a pregnancy complication characterized by high blood pressure and damage to organs such as the liver or kidneys.
3. Placenta previa: a condition where the placenta covers the cervix, which can cause bleeding and may require delivery via cesarean section.
4. Preterm labor: when labor begins before 37 weeks of gestation, which can lead to premature birth and other complications.
5. Intrauterine growth restriction (IUGR): a condition where the fetus does not grow at a normal rate inside the womb.
6. Multiple pregnancies: carrying more than one baby, such as twins or triplets, which can increase the risk of premature labor and other complications.
7. Rh incompatibility: a condition where the mother's blood type is different from the baby's, which can cause anemia and jaundice in the newborn.
8. Pregnancy loss: including miscarriage, stillbirth, or ectopic pregnancy, which can be emotionally devastating for the parents.
It is important to monitor pregnancy closely and seek medical attention promptly if any concerning symptoms arise. With proper care and management, many pregnancy complications can be treated effectively, reducing the risk of harm to both the mother and the baby.
Uterine neoplasms refer to abnormal growths in the uterus, which can be benign (non-cancerous) or malignant (cancerous). These growths can originate from different types of cells within the uterus, leading to various types of uterine neoplasms. The two main categories of uterine neoplasms are endometrial neoplasms and uterine sarcomas.
Endometrial neoplasms develop from the endometrium, which is the inner lining of the uterus. Most endometrial neoplasms are classified as endometrioid adenocarcinomas, arising from glandular cells in the endometrium. Other types include serous carcinoma, clear cell carcinoma, and mucinous carcinoma.
Uterine sarcomas, on the other hand, are less common and originate from the connective tissue (stroma) or muscle (myometrium) of the uterus. Uterine sarcomas can be further divided into several subtypes, such as leiomyosarcoma, endometrial stromal sarcoma, and undifferentiated uterine sarcoma.
Uterine neoplasms can cause various symptoms, including abnormal vaginal bleeding or discharge, pelvic pain, and difficulty urinating or having bowel movements. The diagnosis typically involves a combination of imaging tests (such as ultrasound, CT, or MRI scans) and tissue biopsies to determine the type and extent of the neoplasm. Treatment options depend on the type, stage, and patient's overall health but may include surgery, radiation therapy, chemotherapy, or hormone therapy.
Obstetric labor complications refer to any physical or physiological difficulties that arise during the process of childbirth (labor) and can pose risks to the health of the mother, baby, or both. These complications may result from various factors such as pre-existing medical conditions, fetal distress, prolonged labor, abnormal positioning of the fetus, or issues related to the size or weight of the baby.
Some examples of obstetric labor complications include:
1. Fetal distress: This occurs when the fetus is not receiving adequate oxygen supply or is in danger during labor. It can be caused by various factors such as umbilical cord compression, placental abruption, or maternal anemia.
2. Prolonged labor: When labor lasts for more than 20 hours in first-time mothers or more than 14 hours in subsequent pregnancies, it is considered prolonged labor. This can lead to fatigue, infection, and other complications for both the mother and baby.
3. Abnormal positioning of the fetus: Normally, the fetus should be positioned head-down (vertex) before delivery. However, if the fetus is in a breech or transverse position, it can lead to difficult labor and increased risk of complications during delivery.
4. Shoulder dystocia: This occurs when the baby's shoulders get stuck behind the mother's pubic bone during delivery, making it challenging to deliver the baby. It can cause injuries to both the mother and the baby.
5. Placental abruption: This is a serious complication where the placenta separates from the uterus before delivery, leading to bleeding and potential oxygen deprivation for the fetus.
6. Uterine rupture: A rare but life-threatening complication where the uterus tears during labor, causing severe bleeding and potentially endangering both the mother and baby's lives.
7. Preeclampsia/eclampsia: This is a pregnancy-related hypertensive disorder that can lead to complications such as seizures, organ failure, or even maternal death if left untreated.
8. Postpartum hemorrhage: Excessive bleeding after delivery can be life-threatening and requires immediate medical attention.
9. Infections: Maternal infections during pregnancy or childbirth can lead to complications for both the mother and baby, including preterm labor, low birth weight, and even fetal death.
10. Anesthesia complications: Adverse reactions to anesthesia during delivery can cause respiratory depression, allergic reactions, or other complications that may endanger the mother's life.
Leiomyoma is a benign (non-cancerous) tumor that originates from the smooth muscle cells. It most commonly occurs in the uterus, where it is also known as a fibroid, but can also develop in other parts of the body such as the skin, gastrointestinal tract, and genitourinary system. Leiomyomas are typically slow-growing and often cause no symptoms, although they can lead to various complications depending on their size and location. Treatment options for leiomyomas include surveillance, medication, or surgical removal.
A cicatrix is a medical term that refers to a scar or the process of scar formation. It is the result of the healing process following damage to body tissues, such as from an injury, wound, or surgery. During the healing process, specialized cells called fibroblasts produce collagen, which helps to reconnect and strengthen the damaged tissue. The resulting scar tissue may have a different texture, color, or appearance compared to the surrounding healthy tissue.
Cicatrix formation is a natural part of the body's healing response, but excessive scarring can sometimes cause functional impairment, pain, or cosmetic concerns. In such cases, various treatments may be used to minimize or improve the appearance of scars, including topical creams, steroid injections, laser therapy, and surgical revision.
Pregnancy outcome refers to the final result or status of a pregnancy, including both the health of the mother and the newborn baby. It can be categorized into various types such as:
1. Live birth: The delivery of one or more babies who show signs of life after separation from their mother.
2. Stillbirth: The delivery of a baby who has died in the womb after 20 weeks of pregnancy.
3. Miscarriage: The spontaneous loss of a pregnancy before the 20th week.
4. Abortion: The intentional termination of a pregnancy before the fetus can survive outside the uterus.
5. Ectopic pregnancy: A pregnancy that develops outside the uterus, usually in the fallopian tube, which is not viable and requires medical attention.
6. Preterm birth: The delivery of a baby before 37 weeks of gestation, which can lead to various health issues for the newborn.
7. Full-term birth: The delivery of a baby between 37 and 42 weeks of gestation.
8. Post-term pregnancy: The delivery of a baby after 42 weeks of gestation, which may increase the risk of complications for both mother and baby.
The pregnancy outcome is influenced by various factors such as maternal age, health status, lifestyle habits, genetic factors, and access to quality prenatal care.
Oxytocin is a hormone that is produced in the hypothalamus and released by the posterior pituitary gland. It plays a crucial role in various physiological processes, including social bonding, childbirth, and breastfeeding. During childbirth, oxytocin stimulates uterine contractions to facilitate labor and delivery. After giving birth, oxytocin continues to be released in large amounts during breastfeeding, promoting milk letdown and contributing to the development of the maternal-infant bond.
In social contexts, oxytocin has been referred to as the "love hormone" or "cuddle hormone," as it is involved in social bonding, trust, and attachment. It can be released during physical touch, such as hugging or cuddling, and may contribute to feelings of warmth and closeness between individuals.
In addition to its roles in childbirth, breastfeeding, and social bonding, oxytocin has been implicated in other physiological functions, including regulating blood pressure, reducing anxiety, and modulating pain perception.
'Labor, Obstetric' refers to the physiological process that occurs during childbirth, leading to the expulsion of the fetus from the uterus. It is divided into three stages:
1. The first stage begins with the onset of regular contractions and cervical dilation and effacement (thinning and shortening) until full dilation is reached (approximately 10 cm). This stage can last from hours to days, particularly in nulliparous women (those who have not given birth before).
2. The second stage starts with complete cervical dilation and ends with the delivery of the baby. During this stage, the mother experiences strong contractions that help push the fetus down the birth canal. This stage typically lasts from 20 minutes to two hours but can take longer in some cases.
3. The third stage involves the delivery of the placenta (afterbirth) and membranes, which usually occurs within 15-30 minutes after the baby's birth. However, it can sometimes take up to an hour for the placenta to be expelled completely.
Obstetric labor is a complex process that requires careful monitoring and management by healthcare professionals to ensure the safety and well-being of both the mother and the baby.
Post-infarction heart rupture is a serious and potentially fatal complication that can occur after a myocardial infarction (heart attack). It is defined as the disruption or tearing of the heart muscle (myocardium) in the area that was damaged by the heart attack. This condition typically occurs within 1 to 7 days following a heart attack, and it's more common in elderly patients and those with large infarctions.
There are three main types of post-infarction heart rupture:
1. Ventricular free wall rupture: This is the most common type, where there is a tear in the left ventricular wall, leading to rapid bleeding into the pericardial sac (the space surrounding the heart). This can cause cardiac tamponade, which is a life-threatening situation characterized by increased pressure in the pericardial sac, compromising cardiac filling and reducing cardiac output.
2. Ventricular septal rupture: In this case, there is a tear in the interventricular septum (the wall separating the left and right ventricles), leading to a communication between the two chambers. This results in a shunt of blood from the high-pressure left ventricle to the low-pressure right ventricle, causing a sudden increase in pulmonary congestion and reduced systemic output.
3. Papillary muscle rupture: The papillary muscles are finger-like projections that attach the heart valves (mitral and tricuspid) to the ventricular walls. Rupture of these muscles can lead to severe mitral or tricuspid regurgitation, causing acute pulmonary edema and reduced cardiac output.
Symptoms of post-infarction heart rupture may include chest pain, shortness of breath, palpitations, hypotension, tachycardia, and signs of cardiogenic shock (such as cold sweats, weak pulse, and altered mental status). Diagnosis is typically made using echocardiography, CT angiography, or MRI. Treatment usually involves emergency surgical intervention to repair the rupture and stabilize the patient's hemodynamic condition.
Uterine diseases refer to a range of medical conditions that affect the uterus, which is the reproductive organ in females where fetal development occurs. These diseases can be categorized into structural abnormalities, infectious diseases, and functional disorders. Here are some examples:
1. Structural abnormalities: These include congenital malformations such as septate uterus or bicornuate uterus, as well as acquired conditions like endometrial polyps, fibroids (benign tumors of the muscular wall), and adenomyosis (where the endometrial tissue grows into the muscular wall).
2. Infectious diseases: The uterus can be affected by various infections, including bacterial, viral, fungal, or parasitic agents. Examples include pelvic inflammatory disease (PID), tuberculosis, and candidiasis.
3. Functional disorders: These are conditions that affect the normal functioning of the uterus without any apparent structural abnormalities or infections. Examples include dysmenorrhea (painful periods), menorrhagia (heavy periods), and endometriosis (where the endometrial tissue grows outside the uterus).
4. Malignant diseases: Uterine cancer, including endometrial cancer and cervical cancer, are significant health concerns for women.
5. Other conditions: Miscarriage, ectopic pregnancy, and infertility can also be considered as uterine diseases since they involve the abnormal functioning or structural issues of the uterus.
Maternal mortality is defined by the World Health Organization (WHO) as "the death of a woman while pregnant or within 42 days of termination of pregnancy, irrespective of the duration and site of the pregnancy, from any cause related to or aggravated by the pregnancy or its management but not from accidental or incidental causes."
This definition highlights that maternal mortality is a preventable death that occurs during pregnancy, childbirth, or in the postpartum period, and it can be caused by various factors related to or worsened by the pregnancy or its management. The WHO also collects data on maternal deaths due to direct obstetric causes (such as hemorrhage, hypertensive disorders, sepsis, and unsafe abortion) and indirect causes (such as malaria, anemia, and HIV/AIDS).
Maternal mortality is a significant public health issue worldwide, particularly in low- and middle-income countries. Reducing maternal mortality is one of the Sustainable Development Goals (SDGs) set by the United Nations, with a target to reduce the global maternal mortality ratio to less than 70 per 100,000 live births by 2030.
Premature rupture of fetal membranes (PROM) is a medical condition that occurs when the amniotic sac, which surrounds and protects the developing fetus, breaks or ruptures prematurely before labor begins. The amniotic sac is made up of two layers of fetal membranes - the inner amnion and the outer chorion.
In a normal pregnancy, the fetal membranes rupture spontaneously during labor as a sign that the delivery process has begun. However, if the membranes rupture before 37 weeks of gestation, it is considered premature rupture of membranes. PROM can lead to complications such as preterm labor, infection, and fetal distress.
PROM can be classified into two types based on the timing of membrane rupture:
1. Preterm Premature Rupture of Membranes (PPROM): When the membranes rupture before 37 weeks of gestation, it is called preterm premature rupture of membranes. PPROM increases the risk of preterm labor and delivery, which can lead to various complications for the newborn, such as respiratory distress syndrome, brain bleeding, and developmental delays.
2. Term Premature Rupture of Membranes (TPROM): When the membranes rupture at or after 37 weeks of gestation, it is called term premature rupture of membranes. TPROM may not necessarily lead to complications if labor begins soon after the membrane rupture and there are no signs of infection. However, if labor does not start within 24 hours of membrane rupture, the risk of infection increases, and the healthcare provider may consider inducing labor or performing a cesarean delivery.
The exact cause of premature rupture of fetal membranes is not always known, but several factors can increase the risk, including previous PROM, bacterial infections, smoking, substance abuse, and trauma to the uterus. Healthcare providers monitor women with PROM closely for signs of infection and preterm labor and may recommend treatments such as antibiotics, corticosteroids, or hospitalization to reduce the risk of complications.
"Delivery, Obstetric" is a medical term that refers to the process of giving birth to a baby. It involves the passage of the fetus through the mother's vagina or via Caesarean section (C-section), which is a surgical procedure.
The obstetric delivery process typically includes three stages:
1. The first stage begins with the onset of labor and ends when the cervix is fully dilated.
2. The second stage starts with full dilation of the cervix and ends with the birth of the baby.
3. The third stage involves the delivery of the placenta, which is the organ that provides oxygen and nutrients to the developing fetus during pregnancy.
Obstetric delivery requires careful monitoring and management by healthcare professionals to ensure the safety and well-being of both the mother and the baby. Various interventions and techniques may be used during the delivery process to facilitate a safe and successful outcome, including the use of medications, assisted delivery with forceps or vacuum extraction, and C-section.
Laparoscopy is a surgical procedure that involves the insertion of a laparoscope, which is a thin tube with a light and camera attached to it, through small incisions in the abdomen. This allows the surgeon to view the internal organs without making large incisions. It's commonly used to diagnose and treat various conditions such as endometriosis, ovarian cysts, infertility, and appendicitis. The advantages of laparoscopy over traditional open surgery include smaller incisions, less pain, shorter hospital stays, and quicker recovery times.
Medical malpractice is a legal term that refers to the breach of the duty of care by a healthcare provider, such as a doctor, nurse, or hospital, resulting in harm to the patient. This breach could be due to negligence, misconduct, or a failure to provide appropriate treatment. The standard of care expected from healthcare providers is based on established medical practices and standards within the relevant medical community.
To prove medical malpractice, four key elements must typically be demonstrated:
1. Duty of Care: A healthcare provider-patient relationship must exist, establishing a duty of care.
2. Breach of Duty: The healthcare provider must have failed to meet the standard of care expected in their field or specialty.
3. Causation: The breach of duty must be directly linked to the patient's injury or harm.
4. Damages: The patient must have suffered harm, such as physical injury, emotional distress, financial loss, or other negative consequences due to the healthcare provider's actions or inactions.
Medical malpractice cases can result in significant financial compensation for the victim and may also lead to changes in medical practices and policies to prevent similar incidents from happening in the future.
I'm sorry for any confusion, but "Lawyers" is not a term that has a medical definition. The term "Lawyer" refers to a person who is qualified and authorized to practice law in a court of law. They offer advice on legal matters and represent clients in court or in other legal proceedings. If you have any questions about medical terminology, I would be happy to help!
Birth injuries refer to damages or injuries that a baby suffers during the birthing process. These injuries can result from various factors, such as mechanical forces during delivery, medical negligence, or complications during pregnancy or labor. Some common examples of birth injuries include:
1. Brachial plexus injuries: Damage to the nerves that control movement and feeling in the arms and hands, often caused by excessive pulling or stretching during delivery.
2. Cephalohematoma: A collection of blood between the skull and the periosteum (the membrane covering the bone), usually caused by trauma during delivery.
3. Caput succedaneum: Swelling of the soft tissues of the baby's scalp, often resulting from pressure on the head during labor and delivery.
4. Fractures: Broken bones, such as a clavicle or skull fracture, can occur due to mechanical forces during delivery.
5. Intracranial hemorrhage: Bleeding in or around the brain, which can result from trauma during delivery or complications like high blood pressure in the mother.
6. Perinatal asphyxia: A lack of oxygen supply to the baby before, during, or immediately after birth, which can lead to brain damage and other health issues.
7. Subconjunctival hemorrhage: Bleeding under the conjunctiva (the clear membrane covering the eye), often caused by pressure on the head during delivery.
8. Spinal cord injuries: Damage to the spinal cord, which can result in paralysis or other neurological issues, may occur due to excessive force during delivery or medical negligence.
It's important to note that some birth injuries are unavoidable and may not be a result of medical malpractice. However, if a healthcare provider fails to provide the standard of care expected during pregnancy, labor, or delivery, they may be held liable for any resulting injuries.
Legal liability, in the context of medical law, refers to a legal obligation or responsibility that a healthcare professional or facility may have for their actions or negligence that results in harm or injury to a patient. This can include failure to provide appropriate care, misdiagnosis, medication errors, or other breaches of the standard of care. If a healthcare provider is found to be legally liable, they may be required to pay damages to the injured party. It's important to note that legal liability is different from medical malpractice, which refers to a specific type of negligence committed by a healthcare professional.
"Compensation and redress" are terms often used in the context of medical law and ethics to refer to the process of addressing harm or injury caused to a patient as a result of medical negligence or malpractice.
Compensation refers to the financial reparation awarded to the victim or their family to cover damages such as medical expenses, lost wages, and pain and suffering. The aim of compensation is to restore the victim to the position they were in before the harm occurred, to the extent that money can.
Redress, on the other hand, refers to the broader process of addressing and remedying the harm caused. This may include an apology, changes to hospital policies or procedures, or disciplinary action against the healthcare provider responsible for the negligence. The goal of redress is to acknowledge the harm that was caused and to take steps to prevent similar incidents from occurring in the future.
Together, compensation and redress aim to provide a measure of justice and closure for victims of medical harm, while also promoting accountability and transparency within the healthcare system.
Liability insurance in a medical context refers to a type of insurance that covers the cost of legal claims made against healthcare professionals or facilities for damages or injuries caused to patients during the course of medical treatment. This can include incidents such as malpractice, errors or omissions in diagnosis or treatment, and failure to provide appropriate care. Liability insurance typically covers legal fees, settlements, and judgments awarded to the plaintiff in a lawsuit. It is intended to protect healthcare providers from financial ruin due to lawsuits and help ensure that patients have access to compensation for harm caused by medical negligence.
Uterine rupture
Bloody show
Herb Green
Childbirth
Shoulder presentation
Misoprostol
Ehlers-Danlos syndromes
Unicornuate uterus
Hemoperitoneum
Obstructed labour
Asherman's syndrome
Interstitial pregnancy
Uterine perforation
Gemeprost
Obstetrical forceps
Obstetric labor complication
TOLAC
Asynclitic birth
Cutting for Stone
Major trauma
Rudimentary horn pregnancy
Obstetrics
Vernix caseosa
Uterine hyperstimulation
Lite Light
Uterine niche
Bandl's ring
Shoulder dystocia
Artificial insemination
Birth spacing
Uterine rupture - Wikipedia
Uterine Rupture: Causes, Symptoms, and Treatment
Uterine Rupture
What is uterine rupture? | BabyCentre
Uterine rupture is rare in the UK but increases with the number of previous cesarean deliveries | ScienceDaily
Placenta Percreta-Induced Uterine Rupture Diagnosed By Laparoscopy in the First Trimester [Abstract]
Uterine Rupture: Epidemiological Aspects, Etiologies and Maternal-Fetal Prognosis in the Obstetric Gynecology Department of the...
Uterine Rupture - Gynecology and Obstetrics - MSD Manual Professional Edition
Uterine Rupture of a Patient With Rudimentary Horn Pregnancy at 26th Gestational Weeks Diagnosed via Magnetic Resonance Imaging...
Hysterectomy with Fetus In Situ for Uterine Rupture at 21-Week Gestation due to a Morbidly Adherent Placenta - McMaster Experts
Uterine rupture
Uterine Rupture Malpractice | Baltimore Birth Injury Lawyers
View of Peripartum Ruptured Uterine Angioleiomyoma
Atlanta GA Uterine Rupture Birth Injury Lawyer | Malpractice Lawsuits
What is a uterine rupture? | Winckler, Harvey & McConnell, LLP
Calvin's Birth Story and How I Faced Uterine and Bladder Rupture
The incidence, risk factors and maternal and foetal outcomes of uterine rupture during different birth policy periods: an...
Risk factors for uterine rupture in Mulago hospital: unmatched case control study
Baltimore Medical Malpractice Attorneys | Birth Injury Due to Uterine Rupture - December 2020
C-section: MedlinePlus Medical Encyclopedia
Silent uterine rupture in an unscarred uterus - 指紋 - 臺北醫學大學
Malposition of the Uterus: Overview, Uterine Retroversion or Incarceration, Uterine Torsion
The management of unusual uterine rupture: new aspects. | J Obstet Gynaecol;41(5): 824-825, 2021 Jul. | MEDLINE
VBAC: Giving birth, risks, preparation, and more
How A Uterine Rupture Can Lead To A Brain Injury In A Baby - Boston Law Group, LLC
Table 1 - Adverse Pregnancy Outcomes and Coxiella burnetii Antibodies in Pregnant Women, Denmark - Volume 20, Number 6-June...
APOM News | OHSU
Operative technique at caesarean delivery and risk of complete uterine rupture in a subsequent trial of labour at term. A...
View of Maternal outcome following uterine rupture and its associated factors among mothers who delivered at Felege-Hiwot...
Dr. Labib E. Riachi Pioneering Robotic Repair of a Uterine Rupture at Mediclinic City Hospital | Media | Riachi Surgery | Dr....
Uterus26
- Uterine rupture is when the muscular wall of the uterus tears during pregnancy or childbirth. (wikipedia.org)
- absent fetal heart activity by ultrasound examination Cessation of uterine contractions Palpation of the fetus outside the uterus (usually occurs only with a large, complete rupture). (wikipedia.org)
- With a complete rupture the contents of the uterus spill into the peritoneal cavity or the broad ligament. (wikipedia.org)
- Depending on the nature of the rupture and the condition of the patient, the uterus may be either repaired or removed (cesarean hysterectomy). (wikipedia.org)
- If a uterine rupture causes major blood loss, surgeons may need to remove a woman's uterus to control her bleeding. (healthline.com)
- An analysis of the UK Obstetric Surveillance System shows that uterine rupture -- a serious complication of pregnancy in which the wall of the uterus tears during pregnancy or early labor -- is rare but for women who have previously had a cesarean section, the risk of rupture increases with the number of previous cesarean deliveries, a short interval since the last cesarean section, and with induced labor. (sciencedaily.com)
- Uterine rupture is spontaneous tearing of the uterus that may result in the fetus being expelled into the peritoneal cavity. (msdmanuals.com)
- A rudimentary horn pregnancy and fundal rupture of the rudimentary part of the uterus are diagnosed during the surgical procedure. (researchsquare.com)
- In the unfortunate scenario of uterine rupture, the connection between the uterus and placenta is lost, and the fetus can be deprived of oxygen. (moriartyinjurylawyer.com)
- When symptoms of a ruptured uterus arise, medical staff must monitor the health of the mother to ensure they offer the best possible solution. (wincklerharvey.com)
- I mean who wouldn't focus on the 98% chance that my uterus WOULDN'T rupture? (justisafourletterword.com)
- Cases were defined as patients diagnosed with ruptured uterus. (mak.ac.ug)
- Among healthy women, 1 in 5 have a retroverted uterus either as a normal variant of uterine position or as an acquired condition. (medscape.com)
- Fixation of the uterus by adhesions is a risk factor for the rare pregnancy complications of uterine torsion, incarceration, or sacculation. (medscape.com)
- This is an aneurysmal-like dilatation of the most superior portion of the uterine wall that permits the uterus to enlarge with the consequence of major anatomic distortion. (medscape.com)
- A uterine rupture is a dangerous birth complication that happens when the uterus tears. (medicalnewstoday.com)
- This broad term includes a ruptured uterus, obstructed or twisted umbilical cord, trauma or separation of the placenta, and a whole host of other things that we know and don't know about. (millerandzois.com)
- Obstetricians, nurses, nurse practitioners, and nurse midwives need to be aware that conditions such as eclampsia , a prolapsed or compressed umbilical cord, ruptured uterus, or placental abruption can cause oxygen loss that can cause permanent brain injury or kill a child. (millerandzois.com)
- Abdominal trauma, high uterine pressures, hyperstimulation of the uterus, high blood pressure, or seizures in the mother may also lead to a lack of blood and oxygen reaching the baby's brain. (millerandzois.com)
- If you've had a prior C-section or major uterine surgery, fetal macrosomia increases the risk of uterine rupture during labor - a rare but serious complication in which the uterus tears open along the scar line from the C-section or other uterine surgery. (sparrow.org)
- However, other surgical procedures performed on the uterus can also lead to rupture in future pregnancies. (tidsskriftet.no)
- However, since the skin incision may be different than the incision on the uterus, check with your doctor to determine your type of uterine incision. (healthnews.com)
- If said incision is up and down on the uterus through the main, muscular portion of the stomach, that has up to a 12% risk of rupture if a person labors," Dr. Christine Greves, an OB-GYN in Orlando told TODAY. (today.com)
- After delivery, the mother's uterus normally continues to contract and expels the placenta, which is a temporary organ that attaches to the uterine wall during pregnancy that supplies the baby with nutrients and oxygen. (feldmanshepherd.com)
- This is a rare but serious complication in which the mother's uterus tears open along the scar line from a prior C-section or major uterine surgery. (levinperconti.com)
- During a uterine rupture, the cesarean scar on the uterus breaks open. (augustahealth.com)
Scar9
- Uterine dehiscence is a less severe condition in which there is only incomplete separation of the old scar. (wikipedia.org)
- Signs of an abdominal pregnancy Post-term pregnancy A uterine scar from a previous cesarean section is the most common risk factor. (wikipedia.org)
- Read on for more information about the signs of uterine rupture and what happens if your scar starts to tear during labour. (babycentre.co.uk)
- Uterine rupture usually happens when the scar from a previous caesarean section opens. (babycentre.co.uk)
- The scar tissue can rupture, and there is a brief period, usually about a half an hour, to remove the fetus to prevent hypoxia or oxygen deprivation injuries. (moriartyinjurylawyer.com)
- The main reason for a repeat cesarean section after a TOLAC is failure to progress or fetal distress, not a ruptured uterine scar. (healthnews.com)
- However, a ruptured uterine scar is why VBAC was discouraged many decades ago. (healthnews.com)
- This may occur if the uterine scar ruptures. (healthnews.com)
- It might be that your risk of uterine rupture or scar separation is a little higher than it is after just one C-section. (today.com)
Placenta9
- Placenta percreta-induced spontaneous uterine rupture in the first trimester is extremely rare and difficult to diagnose. (medsci.org)
- Pathological analysis of the uterine specimen revealed placenta percreta to be the cause of the rupture. (medsci.org)
- Uterine rupture due to a morbidly adherent placenta is a rare obstetrical cause of acute abdominal pain in the pregnant patient. (mcmaster.ca)
- Early recognition and management of uterine rupture due to a morbidly adherent placenta are essential to prevent catastrophic hemorrhage. (mcmaster.ca)
- There are a few primary causes of HIE including separation from the placenta, placental trauma, fetal s troke , eclampsia, complications with the umbilical cord , abdominal trauma, and uterine complications. (millerandzois.com)
- Peroperatively a large rupture was identified in the uterine fundus and the placenta was detached into the abdomen. (tidsskriftet.no)
- Placenta previa is the abnormal implantation of the placenta in the lower uterine segment. (millerandzois.com)
- The correct medical path is delivery by c-section before term because the placenta may impede the baby coming through the birth canal, and also, with contractions, there will likely be significant bleeding as the placenta is separated from the lower uterine segment, which can be fatal or significantly injurious to mother and baby. (millerandzois.com)
- Postpartum hemorrhage also occurs when small pieces of the placenta remain attached to the uterine wall after the placenta is expelled. (feldmanshepherd.com)
Contractions4
- A sudden pause in contractions takes place after rupture, along with an abnormal fetal heart rate (usually bradycardia ), severe abdominal pain , vaginal bleeding , and hemodynamic instability . (amboss.com)
- Intermittent myometrial contractions and changes in uterine shape and position are normal during pregnancy . (medscape.com)
- 3. That there is evidence of the onset and persistence of uterine contractions or rupture of the membranes. (flsenate.gov)
- Placental abruption is mainly a clinical diagnosis based on findings of vaginal bleeding, abdominal pain, uterine tenderness, uterine contractions, and fetal distress. (medscape.com)
Complication8
- Uterine rupture is a rare, but serious childbirth complication that can occur during vaginal birth. (healthline.com)
- A uterine rupture can be a life-threatening complication of childbirth for both the mother and the baby. (healthline.com)
- Uterine rupture is a pregnancy complication that is life-threatening for the mother and the baby. (amboss.com)
- One complication that can cause birth injuries and injuries to a mother is uterine rupture. (arfaalawgroup.com)
- Uterine rupture in pregnancy is a rare and often catastrophic complication with a high incidence of fetal and maternal morbidity. (arfaalawgroup.com)
- Uterine rupture is one possible complication that requires timely medical treatment to prevent more serious effects from occurring. (wincklerharvey.com)
- However, if retroversion persists into the midtrimester, uterine incarceration is possible, but the likelihood of this complication is low. (medscape.com)
- One of our patients recently suffered an extremely rare life threatening pregnancy complication, known as uterine rupture, during the delivery of her second baby. (riachisurgery.com)
Complications5
- We included singleton pregnant women with no maternal complications other than uterine rupture from January 2012 to June 2019 in China's National Maternal Near Miss Surveillance System. (biomedcentral.com)
- Uncommonly, obstetric complications result from acute or chronic changes in uterine shape or position prior to labor (retroversion or incarceration, prolapse, torsion, herniation or sacculation), during labor (pathologic retractions rings), or postpartum (acute or chronic inversion). (medscape.com)
- When uterine retroversion with incarceration develops for any reason during pregnancy, acute symptoms and serious complications are possible, and initial misdiagnosis is frequent. (medscape.com)
- A systematic review found that the incidence of complications, such as premature delivery, need for cesarean section, and poor perinatal outcomes, was lower among cases of uterine incarceration that were diagnosed before 20 weeks of gestation. (medscape.com)
- While a successful VBAC is associated with fewer complications than an elective repeat C-section, a failed trial of labor after a C-section is associated with more complications, including a uterine rupture. (augustahealth.com)
Lower uterine segment1
- Level 2 Ultrasonography of the patient is reported as no skeletal dysplasia was detected, 45x50mm submucous myoma uteri was detected in the lower uterine segment. (researchsquare.com)
Cervix2
- Except for the gestational sac, a left-deviated uterine structure -related to the cervix and vagina- was detected in the pelvic area. (researchsquare.com)
- Induction of labour with an unfavourable cervix, birth weight ≥ 4000g and indicators of prolonged labour were all major risk factors for uterine rupture. (ku.dk)
Hemorrhage4
- In the mother, uterine ruptures can cause major blood loss, or hemorrhage. (healthline.com)
- The patient usually applies to the hospital with clinical symptoms of abdominal hemorrhage and acute abdominal pain due to rupture of the uterine wall in the second trimester. (researchsquare.com)
- Physicians are trained to detect warning signs and symptoms of a potential uterine rupture or hemorrhage. (arfaalawgroup.com)
- Labor induction also was associated with a lower incidence of severe maternal morbidity, defined as a composite outcome consisting of postpartum hemorrhage , severe perineal lacerations, unplanned surgical procedure, uterine rupture, admission to an intensive care unit, maternal sepsis , and endometritis . (medscape.com)
Dehiscence3
- Most cases of uterine dehiscence are incidentally found during repeat cesarean delivery . (amboss.com)
- The data in this study did not differentiate between complete and partial uterine rupture and uterine dehiscence. (biomedcentral.com)
- 1.0%) suffered uterine dehiscence. (who.int)
VBAC8
- About two in every 1,000 babies who are born by VBAC (RCOG 2015) die from oxygen deprivation following a uterine rupture. (babycentre.co.uk)
- My hopeful VBAC ended in uterine and bladder rupture. (justisafourletterword.com)
- Uterine rupture is always a risk for a VBAC hopeful, but I had been a great candidate and both of our vitals were always great. (justisafourletterword.com)
- These deliveries, called a VBAC, carry a higher risk of uterine rupture. (medicalnewstoday.com)
- If a VBAC does not go to plan, or a person experiences a uterine rupture, they may need an emergency C-section. (medicalnewstoday.com)
- If you've had a prior high vertical (classical) incision, VBAC isn't recommended because of the risk of uterine rupture. (augustahealth.com)
- If you've had other uterine surgeries, such as for fibroid removal, VBAC isn't recommended due to the risk of uterine rupture. (augustahealth.com)
- The risk of uterine rupture is higher if you attempt VBAC less than 18 months after your previous delivery. (augustahealth.com)
Membranes3
- Women who are pregnant should be warned about things such as pre-labor rupture of membranes, drop in blood pressure with anesthesia, precipitate birth (very fast, active labor), malposition of bleeding, and more. (wikipedia.org)
- Other risk factors include prolonged rupture of membranes, prolonged use of internal fetal monitoring, anemia, and lower socioeconomic status. (medscape.com)
- Some methods of labor induction, such as rupturing a mother's membranes, might increase the risk of infection for both mother and baby . (levinperconti.com)
Signs of uterine rupture1
- Symptoms and signs of uterine rupture include fetal bradycardia, variable decelerations, evidence of hypovolemia, loss of fetal station (detected during cervical examination), and severe or constant abdominal pain. (msdmanuals.com)
Symptoms7
- Symptoms of a rupture may be initially quite subtle. (wikipedia.org)
- What are the symptoms of uterine rupture? (healthline.com)
- A variety of symptoms are associated with uterine ruptures. (healthline.com)
- Uterine rupture happens suddenly and can be difficult to diagnose because the symptoms are often nonspecific. (healthline.com)
- Signs and symptoms may vary depending on the location and the extent of the rupture. (amboss.com)
- Uterine retroversion in nonpregnant women is now recognized as a normal variant that, in most cases, does not result in symptoms. (medscape.com)
- In only about 2% of uterine retroversions diagnosed during the first trimester does the condition progress to incarceration associated with urinary retention or other acute symptoms. (medscape.com)
Spontaneous3
- Spontaneous uterine rupture is lethal in pregnant women. (medsci.org)
- Traumatic and spontaneous ruptures increase the mortality rate of the mother and the baby. (amboss.com)
- Spontaneous Uterine Rupture -- 17. (stanford.edu)
Prevent uterine rupture2
- The only way to prevent uterine rupture is to have a cesarean delivery. (healthline.com)
- It is not always possible to prevent uterine rupture. (wincklerharvey.com)
Risk27
- In those who do have uterine scarring, the risk during a vaginal birth is about 1 per 12,000. (wikipedia.org)
- In 2006, an extremely rare case of uterine rupture in a first pregnancy with no risk factors was reported. (wikipedia.org)
- A woman's risk of uterine rupture increases with every cesarean section. (healthline.com)
- This puts more women are at risk of uterine rupture. (healthline.com)
- The risk of uterine rupture increases with four or more previous caesareans. (babycentre.co.uk)
- An individualised plan will be made with you and a time limit will be placed on your labour to reduce the risk of uterine rupture. (babycentre.co.uk)
- Uterine rupture puts your baby at risk of oxygen deprivation and, potentially, dying. (babycentre.co.uk)
- Furthermore, the risk of uterine rupture was greatest among those who had had two or more previous caesarean deliveries or a caesarean delivery less than 12 months previously, or whose labor was induced. (sciencedaily.com)
- The authors conclude: "For women with a previous caesarean section, the risk of uterine rupture increases not only with trial of labour but also with the number of previous caesarean deliveries, a short interval since the last caesarean section, and labour induction and/or augmentation. (sciencedaily.com)
- If women who have had a prior cesarean delivery wish to try vaginal delivery, prostaglandins should not be used because they increase risk of uterine rupture. (msdmanuals.com)
- A complete rupture is significantly more dangerous and poses more risk during the delivery process. (arfaalawgroup.com)
- The pregnant women can also be at risk from excessive bleeding from uterine rupture. (moriartyinjurylawyer.com)
- Moreover, the results of association studies of maternal age, parity and previous caesarean section number with the risk of maternal and foetal outcomes in women with uterine rupture have not been consistent. (biomedcentral.com)
- The risk of uterine rupture increased with parity and previous caesarean section number. (biomedcentral.com)
- The uterine rupture rate in China continues to increase among different birth policy periods, and the risk of maternal near miss among women with uterine rupture has not significantly improved. (biomedcentral.com)
- 2013). However we do not know what risk factors predispose women to uterine rupture in Mulago hospital. (mak.ac.ug)
- Risk factors for uterine rupture in Mulago have not been studied in the last ten years. (mak.ac.ug)
- This study was to determine the risk factors for uterine rupture in women admitted in Mulago hospital 5C. (mak.ac.ug)
- There is a small risk of uterine rupture, which can harm the mother and the baby. (medlineplus.gov)
- Operative technique at caesarean delivery and risk of complete uterine rupture in a subsequent trial of labour at term. (ku.dk)
- To estimate the relation of single-layer closure at previous caesarean delivery, and other pre-labour and intra-partum risk factors for complete uterine rupture in trial of vaginal birth after a caesarean (TOLAC) at term. (ku.dk)
- Previous vaginal delivery (aOR 0.41 CI: 0.25-0.68) and inter-delivery interval of more than 24 months (aOR 0.38 CI: 0.18-0.78) reduced the risk of uterine rupture. (ku.dk)
- Fetal macrosomia increases the risk that your uterine muscles won't properly contract after you give birth (uterine atony). (sparrow.org)
- Previous caesarean section is considered the main risk factor for uterine rupture. (tidsskriftet.no)
- The current case illustrates the importance of being aware of the risk of rupture when the patient has undergone previous gynaecological surgery other than caesarean section, and of ensuring awareness of the placenta's location. (tidsskriftet.no)
- Labor induction increases the risk that a mother's uterine muscles won't properly contract after they give birth (uterine atony), which can lead to serious bleeding after delivery. (levinperconti.com)
- Risk of uterine rupture, however, is less clear. (contemporaryobgyn.net)
Prognosis1
- The heifer was euthanized after surgery because of the poor prognosis following a uterine rupture and the poor general condition of the animal. (cdc.gov)
Pregnancies2
- Women who have had a prior rupture are generally recommended to have C-sections in subsequent pregnancies. (wikipedia.org)
- The researchers found that overall, the incidence of uterine rupture was 0.2 per 1000 pregnancies but in women with a previous caesarean section, 0.21% of pregnancies resulted in uterine rupture in women planning vaginal delivery and 0.03% in those experiencing a repeat caesarean delivery. (sciencedaily.com)
Loss of fetal station1
- Often a deterioration of the fetal heart rate is a leading sign, but the cardinal sign of uterine rupture is loss of fetal station on manual vaginal exam. (wikipedia.org)
Type of uterine incision1
- What type of uterine incision was used for the prior C-section? (augustahealth.com)
Occurs6
- While typically rupture occurs during labor it may occasionally happen earlier in pregnancy. (wikipedia.org)
- Although the associated maternal mortality is now less than one percent, the fetal mortality rate is between two and six percent when rupture occurs in the hospital. (wikipedia.org)
- It almost always occurs in women with uterine scars from previous cesarean deliveries or other uterine surgeries. (healthline.com)
- When a uterine rupture occurs, the uterus's contents - including the baby - may spill into the mother's abdomen. (healthline.com)
- However, fatal bleeding due to uterine rupture is rare when it occurs in a hospital. (healthline.com)
- Uterine rupture generally occurs during active labor . (amboss.com)
Women with uterine4
- Currently, there are no studies on changes in the incidence of uterine rupture or maternal and foetal outcomes in women with uterine rupture during different birth policy periods in China. (biomedcentral.com)
- Through Poisson regression analysis with a robust variance estimator, we compared the incidences of uterine rupture and maternal and foetal outcomes in women with uterine rupture during different birth policy periods in China and determined the relationship between maternal age, parity or previous caesarean section number and uterine rupture or maternal and foetal outcomes in women with uterine rupture. (biomedcentral.com)
- The Chinese government, obstetricians, and scholars should work together to reverse the rising rate of uterine rupture and improve the pregnancy outcomes in women with uterine rupture. (biomedcentral.com)
- To our knowledge, there is no research report on the incidence of uterine rupture or the changes in maternal and foetal outcomes in women with uterine rupture under the different birth policies. (biomedcentral.com)
Complete rupture2
- Cesarean delivery before labor begins is recommended to avoid a complete rupture. (amboss.com)
- In a complete rupture, the tear goes through all of the layers of the uterine wall. (arfaalawgroup.com)
Atony1
- This condition is called uterine atony . (feldmanshepherd.com)
Significantly1
- Single-layer uterine closure did not remain significantly associated to uterine rupture during TOLAC at term after adjustment for confounding factors. (ku.dk)
Laparotomy4
- Emergency exploratory laparotomy with cesarean delivery accompanied by fluid and blood transfusion are indicated for the management of uterine rupture. (wikipedia.org)
- Diagnosis of uterine rupture is confirmed by laparotomy. (msdmanuals.com)
- Treatment of uterine rupture is immediate laparotomy with cesarean delivery and, if necessary, hysterectomy. (msdmanuals.com)
- Exploratory laparotomy identified a uterine defect and a hysterectomy was performed due to significant bleeding. (mcmaster.ca)
Cesarean delivery1
- patients who have had a cesarean delivery in a previous pregnancy are particularly prone to uterine rupture. (amboss.com)
Surgery5
- Other forms of uterine surgery that result in full-thickness incisions (such as a myomectomy), dysfunctional labor, labor augmentation by oxytocin or prostaglandins, and high parity may also set the stage for uterine rupture. (wikipedia.org)
- Other predisposing factors include congenital uterine abnormalities, trauma, and other uterine surgical procedures such as myomectomies or open maternal-fetal surgery. (msdmanuals.com)
- Once the surgery started, they realized that I had experienced both my uterine and bladder rupture. (justisafourletterword.com)
- The resort to surgery for the correction of chronic uterine retroversion in the absence of distinct pathologic process (eg, endometriosis , other inflammatory condition) has fallen into appropriate disrepute. (medscape.com)
- Having had uterine surgery that cuts through the muscle. (today.com)
Diagnosis2
- Uterine rupture should be considered in the differential diagnosis in all pregnant women who present with acute abdomen, show fluid collection in the peritoneal cavity. (medsci.org)
- Based on compiled clinical reports and the author's experience, the diagnosis and management of the principal types of both benign and pathologic uterine malpositionings that occur during pregnancy are described in this review. (medscape.com)
Caesarean2
- Kathryn Fitzpatrick and colleagues from the National Perinatal Epidemiology Unit based at the University of Oxford in the UK found that from April 2009 to April 2010, 159 women experienced uterine rupture in the UK, of whom 139 had previously delivered by a caesarean section. (sciencedaily.com)
- The authors say: "Although uterine rupture is associated with significant maternal and perinatal mortality and morbidity, even amongst women with a previous caesarean section planning a vaginal delivery in their current pregnancy, it is rare, occurring in only one of every 500 women. (sciencedaily.com)
Occur2
- However, a third of uterine ruptures occur prior to the onset of labor . (amboss.com)
- If the tissue does expand to accommodate the size of the baby, rupture may occur. (wincklerharvey.com)
Bladder1
- I am grieved that this much anticipated time has been tarnished with feelings of trauma and physical pain from both my uterine and bladder rupture, but each day is infinitely better than the last. (justisafourletterword.com)
Mother's1
- A uterine rupture can be caused by forcing a prolonged period of pushing, pressing down too hard on the mother's stomach, or making an improper Cesarean incision. (arfaalawgroup.com)
Surgical1
- Pregnancy of Rudimentary Horn is a type of ectopic pregnancy, that is recognized almost always during surgical treatment of a rupture of the rudimentary horn. (researchsquare.com)
TOLAC2
Perinatal3
- In their detailed analysis, the researchers found that two women died following uterine rupture (giving a case fatality rate of 1.3%) and 18 babies died around the time of birth (giving a perinatal mortality rate of 124 per 1000 live births -- the overall UK perinatal mortality rate is 7.5 per 1000 live births). (sciencedaily.com)
- Uterine rupture remains one of the main direct causes of maternal and perinatal mortality and morbidity in sub-Saharan Africa. (mak.ac.ug)
- In Uganda studies done in different parts of the country show that uterine rupture is associated with high maternal and perinatal mortality (Mukasa et al. (mak.ac.ug)
Trimester1
- In this case report, a pregnancy that developed in a non-communicating rudimentary horn and resulted in rupture in the late 2nd trimester is presented. (researchsquare.com)
Neonatal1
- The changes in these reproductive characteristics may also affect the uterine rupture incidence and maternal and neonatal outcomes. (biomedcentral.com)
Incidence2
- The incidence of uterine rupture is low. (biomedcentral.com)
- According to a systematic review by the World Health Organization (WHO), the incidence of uterine rupture based on community research is 0.053% and that based on medical institution research is 0.31% [ 4 ]. (biomedcentral.com)
Obstetric1
- Uterine rupture is an obstetric disease that is closely related to maternal reproductive characteristics. (biomedcentral.com)