Biomaterial Database

Uterine rupture during pregnancy. 2011

X Xia, and L Fan, and Y Xia, and Y Fang

Department of Obstetrics and Gynecology, Capital University of Medical Science & Beijing Obstetrics and Gynecology Hospital, Beijing, China.

BACKGROUND Despite great advances in modern obstetrics, uterine rupture (UR) remains one of the most frightening complications with high morbidity and mortality. OBJECTIVE To improve the diagnosis and management of UR. RESULTS We report two cases of UR. Case 1 was spontaneous UR and case 2 was associated with a scar in the patient's uterus. Interestingly, the ruptured scar was not a scar from a previous cesarean section; it was a scar that was associated with placenta accreta. The fetal heart rates in both cases were below 80 beats per minute after UR. The newborn in case 1 died soon after delivery, while the newborn in case 2 survived. Both women were healthy and were discharged from hospital two to three weeks after surgery. CONCLUSIONS UR can occur in a previously unscarred uterus or from a scar of a cesarean section or scars caused by other pathologic lesions in the uterus. Severe fetal bradycardia might be a strong indicator for UR. Such study will help obstetricians provide more careful measures to manage UR, so that its morbidity and mortality can be decreased.

UI	MeSH Term	Description	Entries
D010921	Placenta Accreta	Abnormal placentation in which all or parts of the PLACENTA are attached directly to the MYOMETRIUM due to a complete or partial absence of DECIDUA. It is associated with POSTPARTUM HEMORRHAGE because of the failure of placental separation.	Morbidly Adherent Placenta,Placenta Accreta Spectrum,Placenta Increta,Placenta Percreta,Accreta Spectrum, Placenta,Accreta, Placenta,Adherent Placenta, Morbidly,Increta, Placenta,Morbidly Adherent Placentas,Percreta, Placenta,Placenta, Morbidly Adherent
D011247	Pregnancy	The status during which female mammals carry their developing young (EMBRYOS or FETUSES) in utero before birth, beginning from FERTILIZATION to BIRTH.	Gestation,Pregnancies
D001919	Bradycardia	Cardiac arrhythmias that are characterized by excessively slow HEART RATE, usually below 50 beats per minute in human adults. They can be classified broadly into SINOATRIAL NODE dysfunction and ATRIOVENTRICULAR BLOCK.	Bradyarrhythmia,Bradyarrhythmias,Bradycardias
D002585	Cesarean Section	Extraction of the FETUS by means of abdominal HYSTEROTOMY.	Abdominal Delivery,Delivery, Abdominal,C-Section (OB),Caesarean Section,Postcesarean Section,Abdominal Deliveries,C Section (OB),C-Sections (OB),Caesarean Sections,Cesarean Sections,Deliveries, Abdominal
D002921	Cicatrix	The fibrous tissue that replaces normal tissue during the process of WOUND HEALING.	Scars,Cicatrization,Scar,Scarring
D005260	Female		Females
D005313	Fetal Death	Death of the developing young in utero. BIRTH of a dead FETUS is STILLBIRTH.	Fetal Mummification,Fetal Demise,Death, Fetal,Deaths, Fetal,Demise, Fetal,Fetal Deaths,Mummification, Fetal
D005315	Fetal Diseases	Pathophysiological conditions of the FETUS in the UTERUS. Some fetal diseases may be treated with FETAL THERAPIES.	Embryopathies,Disease, Fetal,Diseases, Fetal,Embryopathy,Fetal Disease
D006801	Humans	Members of the species Homo sapiens.	Homo sapiens,Man (Taxonomy),Human,Man, Modern,Modern Man
D000328	Adult	A person having attained full growth or maturity. Adults are of 19 through 44 years of age. For a person between 19 and 24 years of age, YOUNG ADULT is available.	Adults