caa a22 4500 445307684 CHVBK 20180317142618.0 cr unu---uuuuu 170323e20110301xx s 000 0 eng 10.1007/s00404-010-1798-1 doi (NATIONALLICENCE)springer-10.1007/s00404-010-1798-1 Successful outcome in pregnancy complicated by prior uterine rupture: a report of two cases [Elektronische Daten] [Deepika Deka, Anupama Bahadur, Vatsla Dadhwal, Sumana Gurunath, Arvind Vaid] Background: Rupture of the uterus, especially in a scarred uterus, intrapartum is well known. The risk of uterine rupture in women with a previous lower segment caesarean section is 0.2-1.5%, whereas in an unscarred uterus it is extremely rare. Case: Case 1 A 26-year-old woman in her third pregnancy was referred at 16weeks from a community hospital. She had a history of uterine perforation at the fundus in her first pregnancy during a dilatation and curettage requiring laparotomy and repair. In her second pregnancy, fetal death had occurred in the second trimester. She conceived subsequently and in her third pregnancy, the risk of silent rupture of uterus was explained, but the couple opted for continuation of this pregnancy. Case 2 A 25-year-old woman in her third pregnancy was referred. In her first pregnancy, she had a septic abortion during the fifth month of pregnancy. Two years later, she presented at 16weeks gestation with a severe abdominal pain. An ultrasound/MRI revealed a uterine wall defect with an empty uterus, fetus lying outside the uterine cavity with moderate free fluid. In her third pregnancy, 18months later, at 10weeks gestation an ultrasound revealed a single live intrauterine pregnancy with an indistinct thinning and sacculation of the fundo-posterior uterine wall. Conclusion: With increasing caesarean rates, every obstetrician is bound to face the challenge of this life-threatening obstetric hazard and must be prepared to handle this emergency with an expeditious recourse to laparotomy. Springer-Verlag, 2010 Uterine rupture nationallicence Pregnancy outcome nationallicence Deka Deepika Department of Obstetrics and Gynaecology, All India Institute of Medical Sciences, 110 029, New Delhi, India aut Bahadur Anupama Department of Obstetrics and Gynaecology, All India Institute of Medical Sciences, 110 029, New Delhi, India aut Dadhwal Vatsla Department of Obstetrics and Gynaecology, All India Institute of Medical Sciences, 110 029, New Delhi, India aut Gurunath Sumana Department of Obstetrics and Gynaecology, All India Institute of Medical Sciences, 110 029, New Delhi, India aut Vaid Arvind Department of Obstetrics and Gynaecology, All India Institute of Medical Sciences, 110 029, New Delhi, India aut Archives of Gynecology and Obstetrics Springer-Verlag 283(2011-03-01), 45-48 0932-0067 283<45 2011 283 404 https://doi.org/10.1007/s00404-010-1798-1 text/html Onlinezugriff via DOI 1 brief-communication jats NATIONALLICENCE 856 40 https://doi.org/10.1007/s00404-010-1798-1 text/html Onlinezugriff via DOI NATIONALLICENCE 700 1- Deka Deepika Department of Obstetrics and Gynaecology, All India Institute of Medical Sciences, 110 029, New Delhi, India aut NATIONALLICENCE 700 1- Bahadur Anupama Department of Obstetrics and Gynaecology, All India Institute of Medical Sciences, 110 029, New Delhi, India aut NATIONALLICENCE 700 1- Dadhwal Vatsla Department of Obstetrics and Gynaecology, All India Institute of Medical Sciences, 110 029, New Delhi, India aut NATIONALLICENCE 700 1- Gurunath Sumana Department of Obstetrics and Gynaecology, All India Institute of Medical Sciences, 110 029, New Delhi, India aut NATIONALLICENCE 700 1- Vaid Arvind Department of Obstetrics and Gynaecology, All India Institute of Medical Sciences, 110 029, New Delhi, India aut NATIONALLICENCE 773 0- Archives of Gynecology and Obstetrics Springer-Verlag 283(2011-03-01), 45-48 0932-0067 283<45 2011 283 404 Metadata rights reserved Springer special CC-BY-NC licence nationallicence BK010053 XK010053 XK010000 NATIONALLICENCE NATIONALLICENCE NL-springer