Spontaneous uterine rupture in pregnancy after endometrial ablation.
BACKGROUND
Uterine rupture after endometrial ablation is rare and has not been reported previously in the English literature.


METHODS
A 33-year-old multigravida at 26 5/7 weeks of gestation had undergone two endometrial ablation procedures. The first attempt 2 years before pregnancy was complicated by uterine perforation. She presented with severe abdominal pain. A cesarean delivery was performed for recurrent late fetal heart rate deceleration, and a complete spontaneous uterine rupture was discovered.


CONCLUSIONS
Pregnancies that occur after endometrial ablation have a risk of morbidity. Physicians must counsel women on the importance of contraception or sterilization as a critical component of the procedure.
Bowling
Meaghan R
MR
From the University of Alabama at Birmingham, Center for Women's Reproductive Health, Department of Obstetrics/Gynecology, Birmingham, Alabama; and Pediatrix/Obstetrix Center for Research and Education, Texas Perinatal Group, San Antonio, Texas.
Ramsey
Patrick S
PS
D000328:Adult; D055356:Endometrial Ablation Techniques / Q000009:adverse effects*; D005260:Female; D006801:Humans; D008595:Menorrhagia / Q000628:therapy; D011183:Postoperative Complications / Q000209:etiology*; D011247:Pregnancy; D011262:Pregnancy Trimester, Second; D012422:Rupture, Spontaneous / Q000209:etiology; D014597:Uterine Rupture / Q000209:etiology*