title: Vernixuria: another sign of uterine rupture.
abstract: Uterine rupture complicates approximately 1% of trials of labor after cesarean. Classic signs and symptoms include loss of station, cessation of labor, vaginal bleeding, fetal distress, and abdominal pain. Other signs are also possible. We report a case of uterine rupture at VBAC trial that includes an unusual clinical sign of uterine rupture: vernix caseosa observed in the urine of the parturient. During labor, a bladder catheter was inserted to evaluate oliguria. Vernix caseosa and blood were found in the tubing. Prompt cesarean delivery followed. A tear extending from the original transverse scar into the bladder dome was found. Vernixuria is an additional sign of uterine rupture.
authors.affiliation: Department Of Obstetrics & Gynecology, Baystate Medical Center, Springfield, MA 01199, USA.
authors.forename: John Patrick
authors.initials: JP
authors.lastname: O'Grady
authors.forename: Michel
authors.initials: M
authors.lastname: Prefontaine
authors.forename: Despina E
authors.initials: DE
authors.lastname: Hoffman
mesh_terms: D000328:Adult; D005260:Female; D006801:Humans; D011247:Pregnancy; D016482:Urinalysis; D014556:Urine / Q000737:chemistry*; D014597:Uterine Rupture / Q000209:etiology* / Q000652:urine*; D016064:Vaginal Birth after Cesarean / Q000009:adverse effects*; D014708:Vernix Caseosa