Posterior uterine rupture in a woman with a previous Cesarean delivery.
A 33-year-old primipara with a previous low transverse Cesarean delivery underwent labor induction at 41 weeks' gestation with a 10-mg dinoprostone vaginal insert. Eleven hours later, with the cervix fully dilated, an emergency Cesarean delivery was performed because of repetitive variable decelerations followed by fetal bradycardia. A posterior uterine wall rupture extending from the fundus to the vagina was repaired in layers. The neonate had an Apgar score of 2 and 4 and expired on the 7th day of life.
Figueroa
R
R
Department of Obstetrics and Gynecology, Winthrop-University Hospital, Mineola, New York, USA.
Garry
D
D
Mackenzie
A P
AP
D000282:Administration, Intravaginal; D000328:Adult; D017604:Cesarean Section, Repeat; D003937:Diagnosis, Differential; D015232:Dinoprostone / Q000008:administration & dosage; D004638:Emergency Treatment; D017809:Fatal Outcome; D005260:Female; D005311:Fetal Hypoxia; D006801:Humans; D007231:Infant, Newborn; D007751:Labor, Induced / Q000009:adverse effects*; D011247:Pregnancy; D011296:Prenatal Diagnosis; D014597:Uterine Rupture / Q000175:diagnosis* / Q000209:etiology / Q000473:pathology / Q000601:surgery
D015232:Dinoprostone