title: Short interpregnancy interval and misoprostol as additive risks for uterine rupture: a case report.
abstract: BACKGROUND
  Short interpregnancy interval and uterine instrumentation are risk factors for uterine rupture in subsequent pregnancies. Misoprostol as a uterotonic agent is an additive risk factor for rupture of a scarred uterus.
  
  
  METHODS
  Misoprostol induction for a term stillbirth was complicated by uterine rupture. Risk factors for this uterine rupture might have included interpregnancy intervals of < 7 months, prior uterine instrumentation, and misoprostol as a uterotonic agent.
  
  
  CONCLUSIONS
  Caution and a high index of suspicion are warranted when using misoprostol as a uterotonic agent after a short interpregnancy interval.
authors.affiliation: Department of Obstetrics and Gynecology, Division of Maternal Fetal Medicine, Montefiore North Division Medical Center, Albert Einstein College of Medicine, Bronx, New York 10466, USA. chenders@montefiore.org
authors.forename: Cassandra E
authors.initials: CE
authors.lastname: Henderson
authors.forename: Romany Gawargious
authors.initials: RG
authors.lastname: Hana
authors.forename: Roman
authors.initials: R
authors.lastname: Woroch
authors.forename: Kevin D
authors.initials: KD
authors.lastname: Reilly
mesh_terms: D000037:Abruptio Placentae / Q000175:diagnosis; D000293:Adolescent; D001721:Birth Intervals; D005260:Female; D006801:Humans; D007751:Labor, Induced; D016595:Misoprostol / Q000008:administration & dosage / Q000009:adverse effects*; D010120:Oxytocics / Q000008:administration & dosage / Q000009:adverse effects*; D011247:Pregnancy; D050497:Stillbirth; D014597:Uterine Rupture / Q000209:etiology*
chemical_list: D010120:Oxytocics; D016595:Misoprostol