Relationship between prelabour uterine rupture and previous placenta previa diagnosis: case reports and review of literature

Abstract

Background. The number of Caesarean sections is growing worldwide, intensifying the risk of complications in subsequent pregnancies and leading to increased maternal and fetal morbidity and mortality. In particular, the literature shows a higher risk of uterine rupture in subsequent pregnancy with trial of labor after caesarean section. Furthermore, there are few data about pre-labor uterine rupture in scarred uteri. Objective. Since the key factor for management is timing, the aim of this cases report was to describe the accuracy of prenatal ultrasound of scars in the early determining of pre-labor UR risk in two cases with a previous Caesarean sections during their subsequent pregnancy. Case presentation. We reported two cases of uterine rupture occurring outside of labour in patients with a history of caesarean section due to placenta previa. In the current cases was reported how a higher hysterotomy, combined with some risk factors, could increase the prevalence of UR in the subsequent pregnancy. Conclusions. In these cases, a higher uterine incision due to placenta previa or isthmic myoma seems to be correlated with a major risk of UR. Therefore, although in a limit experience, we report that the periconceptional prenatal ultrasound examination of previous cesarian section level could represented a useful predictive factor of pre-labor uterine rupture in subsequent pregnancies.

Spontaneous Uterine Rupture and Adenomyosis, a Rare but Possible Correlation: Case Report and Literature Review

“…Therefore, for personalized treatments it is important to identify imaging features that can predict the disease severity for each patient. Since the rate of adenomyosis is increasing in women, practicing obstetricians should carefully consider the possibility of obstetrical complications such as UR due to extensive adenomyosis during pregnancy [ 26 , 27 , 28 , 29 , 30 ].…”

Readability and reliability of Wikipedia articles in high-risk pregnancy and birth control options

“…Similar quality and readability analyses of Wikipedia articles have already been conducted in nephrology, neurosurgery, gastroenterology and hepatology, cardiovascular medicine, pelvic floor disorders and Parkinson's disease [5][6][7][8][9][10]. However, the obstetric field is prone to lots of dangerous conditions such as pre-term birth [11], uterine rupture, infections, cesarean complications [12][13][14][15][16]. Moreover, different gynecological conditions may hamper fertility outcomes and require appropriate counselling [17].…”

Herlyn-Werner-Wunderlich syndrome and central placenta previa in a COVID-19 positive pregnant woman: a case report

“…It must be distinguished from low-lying placenta, where the placental edge is within 2 cm of the cervical os. Several risk factors have been identified, including previous cesarean sections (CS) [9]. Women with CPP have a higher risk of antepartum hemorrhage, CS, and occurrence of placenta accreta spectrum disorders.…”