Un cas de rupture utérine découvert en post-partum

Guiheneuf, A.; Cabaret, A.-S.; Grall, J. Y.

doi:10.1016/j.sagf.2008.08.009

Cited by 1 publication

(1 citation statement)

References 3 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Uterine scar dehiscence accounts for 0.02 to 0.08% of all deliveries. 25 Early postpartum dehiscence is very infrequent, appearing either in isolation [26][27][28][29] or associated with an underlying infection. [30][31][32] Similarly, uterine rupture without a previous scar is very rare and is mainly associated with vaginal delivery after cesarean section.…”

Section: Discussionmentioning

confidence: 99%

Maternal and Neonatal Outcomes After Ex-Utero Intrapartum Treatment for Congenital Diaphragmatic Hernia: A Case Series

Chimenea,

Domínguez-Moreno,

Barrera-Talavera

et al. 2023

Eur J Pediatr Surg

View full text Add to dashboard Cite

Introduction: Despite advances in neonatal intensive care, fetuses with congenital diaphragmatic hernia (CDH) remain to have a poor prognosis. Exclusive postnatal treatment is inadequate in patients with moderate CDH (O/E LHR 26 to 45%), and can lead to respiratory failure at birth, requiring ECMO in 75% of cases. Ex-utero intrapartum treatment (EXIT) procedure may be beneficial in these cases, improving the fetal-neonatal transition. Material and Methods: We review all pregnancies with fetal isolated left CDH with moderate O/E LHR delivered by EXIT in our center from January 2007 to December 2022. Maternal and neonatal variables were analyzed. As primary outcomes, we included neonatal survival and mortality rates, surgical and infectious complications, uterine scar dehiscence, and blood loss during EXIT. As secondary outcomes, we studied recurrences of the diaphragmatic defect, long-term evolution, subsequent pregnancies, and mode of delivery. Results: A total of 14 patients were delivered by EXIT procedure, with a neonatal survival rate of 85.7%. All these children have an optimal physical and neurocognitive development, and no pulmonary morbidity. We found no major complications, and 7.1% of minor maternal complications. There were no cases of surgical wound infection or endometritis. The median decrease in Hemoglobin during EXIT procedure was 1.9 mg/dl, and only one case required postoperative transfusion. Two out of the 14 women became pregnant again, and both pregnancies were uneventful. Conclusions: In our series, EXIT procedure allows for adequate airway management associated with a high neonatal survival rate in patients with moderate O/E LHR CDH, with a low rate of neonatal and maternal complications.

show abstract