Successful Pregnancy after Previous Uterine Rupture

Authors

  • Kenusha Devi Tiwari Department of Obstetrics and Gynecology, Kathmandu Model Hospital, Nepal
  • Aruna Karki Department of Obstetrics and Gynecology, Kathmandu Model Hospital, Nepal
  • Ganesh Dangal Department of Obstetrics and Gynecology, Kathmandu Model Hospital, Nepal
  • Hema Pradhan Department of Obstetrics and Gynecology, Kathmandu Model Hospital, Nepal
  • Ranjana Shrestha Department of Obstetrics and Gynecology, Kathmandu Model Hospital, Nepal
  • Kabin Bhattachan Department of Obstetrics and Gynecology, Kathmandu Model Hospital, Nepal
  • Rekha Poudel Department of Obstetrics and Gynecology, Kathmandu Model Hospital, Nepal
  • Nishma Bajracharya Department of Obstetrics and Gynecology, Kathmandu Model Hospital, Nepal
  • Sonu Bharati Department of Obstetrics and Gynecology, Kathmandu Model Hospital, Nepal

Keywords:

cesarean delivery, pregnancy, uterine rupture

Abstract

Uterine rupture is a rare and catastrophic incidence with high maternal and fetal morbidity rates. It is most commonly seen in the scarred uterus. The unscarred uterus is least susceptible to rupture with the incidence being 1 in 8000 deliveries. In the past, pregnancy after uterine rupture was not widely advised and patients underwent hysterectomy or tubal ligation but with the evolving practice, women are motivated for pregnancy which can be successful with proper obstetric care and emphasis on time and mode of delivery. Here we present a case of 31 years old female, gravida 2 para 1 living 0 with previous uterine rupture after medical induction of labor with stillbirth 4 years ago. She underwent emergency laparotomy with the repair. The patient spontaneously conceived and had close antenatal care throughout the pregnancy. The patient was admitted at 34 weeks of gestation and kept under close surveillance. Corticosteroid was administered. She underwent spontaneous labor at 37 weeks of gestation and emergency cesarean section was planned, delivered via a breech presentation to a live baby of 2.4 kg, APGAR score of 8/10, 9/10 at 1 and 5 minutes.

DOI: https://doi.org/10.46405/ejms.v2i1.22

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Published

2020-03-03

How to Cite

Tiwari, K. D., Karki, A., Dangal, G., Pradhan, H., Shrestha, R., Bhattachan, K., … Bharati, S. (2020). Successful Pregnancy after Previous Uterine Rupture. Europasian Journal of Medical Sciences, 2(1), 99–102. Retrieved from https://nepjol.info./index.php/ejms/article/view/32783

Issue

Vol. 2 No. 1 (2020): Europasian Journal of Medical Sciences (EJMS) | 2020 (January - June) Issue 2

Section

Case Reports

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