Volume 10, Issue 2 (Spring 2021)
aumj 2021, 10(2): 211-216 |
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Mirkazehi Rigi Z, Dadpisheh S, Alavi A, Sheikh F, Bamenimoghadam P. Report of A Case of Uterine Rupture in Pregnant Women Without Scar After Vaginal Delivery. aumj 2021; 10 (2) :211-216
URL: http://aums.abzums.ac.ir/article-1-1336-en.html
URL: http://aums.abzums.ac.ir/article-1-1336-en.html
Zohreh Mirkazehi Rigi1 
, Saideh Dadpisheh2 , Amene Alavi3 , Firouze Sheikh *4 , Pariya Bamenimoghadam5
, Saideh Dadpisheh2 , Amene Alavi3 , Firouze Sheikh *4 , Pariya Bamenimoghadam5
1- Instructor of Midwifery Department, School of Nursing and Midwifery, Iranshahr University of Medical Sciences, Iranshahr ,Iran
2- Instructor of Physiology Department, Iranshahr University of Medical Sciences, Iranshahr ,Iran
3- Midwife, Iranshahr University of Medical Sciences, Iranshahr ,Iran
4- Instructor of Midwifery Department, School of Nursing and Midwifery, Iranshahr University of Medical Sciences, Iranshahr ,Iran ,f_sheikhi12@yahoo.com
5- Assistant Professor of Obstetrics and Gynecology, Iranshahr University of Medical Sciences
2- Instructor of Physiology Department, Iranshahr University of Medical Sciences, Iranshahr ,Iran
3- Midwife, Iranshahr University of Medical Sciences, Iranshahr ,Iran
4- Instructor of Midwifery Department, School of Nursing and Midwifery, Iranshahr University of Medical Sciences, Iranshahr ,Iran ,
5- Assistant Professor of Obstetrics and Gynecology, Iranshahr University of Medical Sciences
Abstract: (1705 Views)
Background: Uterine rupture in pregnancy and labour is a fetal complication. Prevalence of uterine rupture in pregnancy in women with no previous uterine scare specially, nulliparous women without any risk is rare. Risk factors of uterine rupture in women with no previous scare are such as trauma, obstetrics maneuvers, high parity, multiple babies and uterotonic agents.
Casa Presentation: A 23 years woman with prime gravid, term pregnant was admitted in with chief complaint of uterine contractions. In the first examination shows: dilatation:4-5 cm, effacement : 50%, station: -2 and FHR:145. In full dilatation and complete effacement mother was exhusted. Due to her lack of cooperation in the 2nd Stage fundal pressure has been performed. After 5 minutes a baby with Apgare Score 3/4 has been born. Weighing 3500 grms. Placenta and it's appendix completely evacuated. Uterine massages has been performed. Hemorrhage was heavy. Cervix was observed it was intac. Uterine agents and two hand uterine massage has been performed but there was persistent hemorrhage. Patient complaints of sharp pain in the abdomen. Corrugated has been done, there was no remains. Patient was suspected to uterine rupture. Immediately she was shifted to op room. In laparotomy uterine rupture in the fundus and body has been observed and repaired by gynecologist. After 72 hrs patient has been discharged from hospital with normal state.
Conclusion: we recommend which in the patient with fundal pressure specially with bradycardia an internal evaluation to be performe. In case of uterine rupture diagnosis, therefore rapid actions can be done.
Casa Presentation: A 23 years woman with prime gravid, term pregnant was admitted in with chief complaint of uterine contractions. In the first examination shows: dilatation:4-5 cm, effacement : 50%, station: -2 and FHR:145. In full dilatation and complete effacement mother was exhusted. Due to her lack of cooperation in the 2nd Stage fundal pressure has been performed. After 5 minutes a baby with Apgare Score 3/4 has been born. Weighing 3500 grms. Placenta and it's appendix completely evacuated. Uterine massages has been performed. Hemorrhage was heavy. Cervix was observed it was intac. Uterine agents and two hand uterine massage has been performed but there was persistent hemorrhage. Patient complaints of sharp pain in the abdomen. Corrugated has been done, there was no remains. Patient was suspected to uterine rupture. Immediately she was shifted to op room. In laparotomy uterine rupture in the fundus and body has been observed and repaired by gynecologist. After 72 hrs patient has been discharged from hospital with normal state.
Conclusion: we recommend which in the patient with fundal pressure specially with bradycardia an internal evaluation to be performe. In case of uterine rupture diagnosis, therefore rapid actions can be done.
Type of Study: Research |
Subject:
Special
Received: 2021/07/12 | Accepted: 2021/05/31 | Published: 2021/05/31
Received: 2021/07/12 | Accepted: 2021/05/31 | Published: 2021/05/31
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