[Uterine rupture without predisposing factors after a single vaginal PgE2 administration in prolonged pregnancy].
The case of a 38-year old 3/1 gravida with prolonged pregnancy is discussed. Labour was induced with a prostaglandin (PgE2-) vaginal tablet 4 days after an oxytocin stress test had failed. After rapid labour development, imminent fetal asphyxia suddenly occurred, leading to an emergency cesarean section. A rupture of the left uterus wall rupture with laceration of uterine vessels was demonstrated. This is the first case report of a uterus rupture that happened in prolonged pregnancy without predisposing risk factors after a single PgE2 dose that was correctly placed into the posterior fornix.
Zieger
W
W
Frauenklinik im Klinikum Mannheim, Universität Heidelberg.
Leveringhaus
A
A
Wischnik
A
A
Melchert
F
F
D000282:Administration, Intravaginal; D000328:Adult; D001238:Asphyxia Neonatorum / Q000139:chemically induced / Q000601:surgery; D002585:Cesarean Section; D015232:Dinoprostone / Q000008:administration & dosage / Q000009:adverse effects*; D005260:Female; D006801:Humans; D007231:Infant, Newborn; D007751:Labor, Induced / Q000379:methods*; D011247:Pregnancy; D011273:Pregnancy, Prolonged; D012307:Risk Factors; D013607:Tablets; D014597:Uterine Rupture / Q000139:chemically induced* / Q000601:surgery
D013607:Tablets; D015232:Dinoprostone
Uterusruptur ohne prädisponierende Faktoren nach einmaliger vaginaler PgE2-Applikation bei Terminüberschreitung.