Maternal sepsis, uterine rupture and coagulopathy complicating cervical cerclage.
A previously healthy woman with a Shirodkar cerclage for cervical incompetence had a spontaneous rupture of the membranes at the 37th week of pregnancy. Three days later after a short period of weak labor pains, she developed a severe sepsis, uterine rupture and coagulopathy leading to renal failure, beta-hemolytic streptococcus group B and peptostreptococcous could be cultured from the amniotic fluid immediately after rupture of the membranes and from the uterus and placenta.
D000328:Adult; D001778:Blood Coagulation Disorders / Q000209:etiology*; D004716:Endometritis / Q000209:etiology*; D005260:Female; D005322:Premature Rupture of Fetal Membranes / Q000209:etiology; D006801:Humans; D007231:Infant, Newborn; D007676:Kidney Failure, Chronic / Q000209:etiology; D008722:Methods; D011247:Pregnancy; D011251:Pregnancy Complications, Infectious / Q000209:etiology*; D018805:Sepsis / Q000209:etiology*; D002581:Uterine Cervical Incompetence / Q000601:surgery*; D014597:Uterine Rupture / Q000209:etiology*