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

Abstract

(1) Background: Uterine rupture during pregnancy is a serious obstetric complication with a high incidence of maternal morbidity and mortality. (2) Methods: The present case is a rare event of a uterine rupture occurring in an unscarred uterus in a nonlaboring primigravida woman in the second trimester. The only risk factor in this case was adenomyosis found in the preconceptional phase. (3) Results: The diagnosis of adenomyosis can often be difficult, so patients should be evaluated by a specialized gynecologist. After careful amnestic collection, a gynecological examination and II level ultrasound should be performed in accordance with the Morphological Uterus Sonographic Assessment classification. (4) Conclusions: This evaluation allows us to identify classes of patients at high risk of uterine rupture who, therefore, must be properly informed of the risks both during preconceptional counseling and during pregnancy.

Effects of the Oxytocin Hormone on Pelvic Floor Muscles in Pregnant Rats

“…Although there are many studies related to uterine rupture [ 9 , 10 ] and pelvic floor dysfunction due to pregnancy and delivery in the clinic, we could not find any study in the literature that histologically demonstrated the effect of oxytocin hormone on pelvic floor muscles. To our knowledge, this is the first study in the literature demonstrating the effects of oxytocin induction on pelvic floor muscle in rats.…”

“…Pregnancy and childbirth are common risk factors for complications such as placenta previa, uterine rupture, preeclampsia and pelvic floor disorders (PFDs) [ 8 , 9 , 10 ]. The symptoms of PFDs include urinary incontinence, bladder storage and voiding and post-micturition, pelvic organ prolapse, sexual dysfunction, anorectal dysfunction, lower urinary tract pain and/or other pelvic pain and lower urinary tract infections [ 11 , 12 , 13 , 14 , 15 , 16 , 17 , 18 , 19 ].…”

“…The causes of PFDs are not well understood, but they can be classified according to their origin into obstetric and non-obstetric causes. Advanced age, obesity or having a high body mass index, as well as heavy lifting, smoking, excessive exercise, connective tissue disorders and neurological diseases, can be considered non-obstetric causes [ 8 , 10 , 14 , 15 , 19 , 20 , 23 , 24 ]. Obstetric causes include parity, operative vaginal delivery, duration of the first and second stages of labour, episiotomy, epidural analgesia, laparoscopic and hysteroscopic interventions, occiput posterior presentation, macrosomy, foetal head size, obstetric trauma, perineal laceration, prostaglandin and oxytocin induction [ 10 , 15 , 19 , 20 , 21 , 23 , 24 , 25 , 26 ].…”

Nutrition as Personalized Medicine against SARS-CoV-2 Infections: Clinical and Oncological Options with a Specific Female Groups Overview

“…Effort was due first of all to the impossibility of knowing how to manage a pandemic with the health complications that have arisen and, secondly, to the absence of targeted COVID-19 drugs, which in the first pandemic phase saw the experimentation of therapies already existing for others purposes and, in principle, were at least adaptable to the pulmonary and systemic symptoms presented by patients COVID-19 affected [ 155 , 156 , 157 , 158 , 159 , 160 ]. The advent of vaccines [ 85 , 161 , 162 , 163 ] has in fact revolutionized this perspective as they have guaranteed not only a preventive and protective effect in the contagion phase, but also a therapeutic effect as severe symptoms have increasingly given way to milder symptoms or even a lack of symptoms in the vaccinated population. This aspect must also be taken into consideration for extra-pulmonary symptoms, even in the long-term, assuming future viral variants and future vaccines.…”

Asynclitism and Its Ultrasonographic Rediscovery in Labor Room to Date: A Systematic Review

“…Labor analgesia is reported to be the most effective technique for pain control during labor [ 16 , 50 , 51 ]. Bofill, in 1996, compared the effectiveness of forceps and VE in terms of the need for analgesia during labor.…”