Pregnancy outcome in patients with previous uterine rupture

Usta, Ihab M.; Hamdi, Mohammad; Musa, Antoine Abu; Nassar, Anwar H.

doi:10.1080/00016340601089768

Cited by 54 publications

(60 citation statements)

References 16 publications

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“…Lim et al (2005) did not report any repeat ruptures in their case-series. However, Usta et al (2007) had an incidence of 34% repeat rupture in their study in Beirut, Lebanon. The initial ruptures in Cases 3 and 4 could have been avoided if an elective caesarean section had been done.…”

Section: Discussionmentioning

confidence: 86%

“…Several studies and case reports have reported favourable outcomes in subsequent pregnancies after uterine rupture (Al Sakka et al 1999;Lim et al 2005;Usta et al 2007). All these studies recommended planned caesarean delivery for the subsequent pregnancy, even though the exact timing of delivery is not generally agreed on.…”

Section: Introductionmentioning

confidence: 95%

“…To avoid this risk, hysterectomy was the preferred surgery for women who presented with uterine rupture in pregnancy (Iloabachie and Agwu 1990). However, to preserve fertility in those who have not completed their families, especially younger aged mothers, suture repair without bilateral tubal ligation can be done (Al Sakka et al 1999;Ezegwui and Nwogu-Ikojo 2005;Usta et al 2007).…”

Section: Introductionmentioning

confidence: 98%

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Pregnancy after rupture of the pregnant uterus

Okafor¹,

Nwogu-Ikojo²,

N.³

2011

Journal of Obstetrics and Gynaecology

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Pregnant women managed by us after suture repairs for rupture of the pregnant uterus between 2006 and 2009 in Enugu, South-east Nigeria were reviewed. Five pregnancies were managed during the study period. Four had normal pregnancies. Three booked early in pregnancy and had repeat caesarean deliveries at 36 weeks' gestation. One booked at another private hospital but had emergency caesarean section at 38 weeks' gestation. The fourth woman had repeat rupture at 28 weeks' gestation, suture repair and bilateral tubal ligation. Four healthy babies were discharged home. There was no maternal death. The outcomes of pregnancies after rupture of the pregnant uterus are good. Suture repairs should be the method of choice whenever preservation of future fertility is necessary. The woman and her family must be counselled on the associated risks and the need for hospital delivery by elective caesarean section in the subsequent pregnancies before discharge.

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Section: Discussionmentioning

confidence: 86%

Section: Introductionmentioning

confidence: 95%

Section: Introductionmentioning

confidence: 98%

See 1 more Smart Citation

Pregnancy after rupture of the pregnant uterus

Okafor¹,

Nwogu-Ikojo²,

N.³

2011

Journal of Obstetrics and Gynaecology

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“…CT scan is performed when there is doubt about the diagnosis or location of the abscess [4] . The patients should be treated with broad-spectrum parenteral antibiotics [6,7] . Aspiration of abscess under ultrasound guide depends on its site [8] .…”

Section: Discussionmentioning

confidence: 99%

Pelvic Abscess with Uterine Wound Dehiscence Post Cesarean Section, Rare Presentation with Modified Management: Case Report & Literature Review

Hamadeh¹

2016

JGNB

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The rate of caesarean section rate is increasing worldwide, the ideal rate being from 10 to 15% according to WHO. Various complications are associated with this operative procedure, such as intraoperative hemorrhage, wound and chest infections, abdominal wound dehiscence, from anesthesia, deep vein thrombosis, and pulmonary embolism to name a few. Uterine wound dehiscence is a very rare complication of cesarean section that presents with PPH [1] . Postoperative pyrexia may result from various causes, pelvic abscess being a very rare one, occurring in < 1% of patients with post cesarean endometritis [2] . This report describes an unusual cause of fever following cesarean delivery and presentation of its sequelae, our method of management, and its outcome with comparison to similar cases presented in the literature. This the first case report in literature of post-operative pelvic abscess with uterine wound dehiscence, a rare presentation that was managed with radiological intervention and assistance.

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“…Thirteen articles were found [27][28][29][30][31][32][33][34][35][36][37][38][39][40][41] (references [31] and [32] reported the same cases). Full-text articles reporting about subsequent fertility and pregnancy after complete uterine rupture were retrieved.…”

Section: Literature Reviewmentioning

confidence: 99%