Akademik Veri Yönetim Sistemi
JOURNAL OF CLINICAL OBSTETRICS & GYNECOLOGY, cilt.24, ss.261-264, 2014 (Hakemli Dergi)
Uterine rupture is an obstetric emergency needs immediate surgery and is associated with poor fetal and maternal outcomes. The risk of uterine rupture and its associated morbidities increases as the incidence of cesarean deliveries increases. Women with prior uterine rupture are potentially fertile and will be at a greater risk of recurrent uterus rupture. There is little evidence guiding the management of pregnancy in patients with a history of rupture. Postpartum counseling regarding risk of rerupture with subsequent pregnancies is an important piece of management of these patients. Here we report a case of recurrent rupture of uterus in a pregnancy at 31 3/7 weeks of gestation in woman with history of uterin rupture in prior pregnancy. She was admitted to our hospital with lower abdominal pain. Initial evaluation at admission was normal. After 2 hours later she felt diziness and increase in abdominal pain. After evaluation she was found tachycardic and hypotensive and fetus was bradycardic on ultrasonographic examination. Emergent laparotomy was done and rupture of uterus from prior rupture site was detected. Primary repair of rupture site was performed.