Author : Pinkey lakra, shivani, vijayata sangwan, manisha upadhyay, sunita siwach, rajiv mahendru
Keyword : Previous cesarean section, uterine rupture
Subject : Obstetrics
Article Type : Case report
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Abstract : Background: A previous cesarean section case has a potential risk of uterine rupture at the primary cesarean scar site in subsequent pregnancies. Uterine rupture at sites like fundus and posterior wall with intact previous cesarean scar are rare events and both are associated with high fetomaternal morbidity and mortality. Case Report: We report two such cases of uterine rupture at other sites with intact previous cesarean scar and discuss their probable etiology and management. first was a case of fundal rupture with intact previous cesarean scar in 25 years old G3P2 L1 with previous one cesarean 3 years back and second was Posterior wall rupture with intact previous cesarean scar in 28 years old G3P2L2 with 28 weeks pregnancy with previous one cesarean 6 years back followed by one VBAC 3 years back. There was no history of D&C, uterine perforation, myomectomy or metroplasty in any of the two cases. In second case there was a history of intramuscular oxytocin injection which might have led to sudden, strong and severe uterine contractions & uterine rupture. Conclusion: Although previous cesarean section is always a significant risk factor for uterine rupture in current times nonetheless other factors also play a role.
Article by : Pinkey Lakra
Article add date : 2023-02-22
How to cite : Pinkey lakra, shivani, vijayata sangwan, manisha upadhyay, sunita siwach, rajiv mahendru. (2023-February-22). Uterine rupture with intact previous cesarean scar: 2 case reports. retrieved from https://www.openacessjournal.com/abstract/1189