Taipei Medical University

A B C D E F G H I J K L M N O P Q R S T U V W X Y Z
Pan HS
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------>journal_name=J Reprod Med
------>paper_name=Uterine rupture in an unscarred uterus after application of fundal pressure
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------>fullAbstract=BACKGROUND: Rupture of an unscarred uterus is rare, with a reported incidence of 1 in 8,000-15,000 pregnancies. We report a case occurring during labor. CASE: A 33-year-old woman, gravida 3, para 0, abortion 2, was admitted at 40 weeks~ gestation with ruptured membranes. Fundal pressure was applied during delivery due to maternal exhaustion. Uterine rupture was diagnosed from palpation of the fetal extremities coupled with a decreased fetal heartbeat. A 6-cm transverse laceration was discovered over the lower uterine segment during emergency cesarean section. The uterus was sutured. There were no further complications, and the postoperative course was uneventful. CONCLUSION: Spontaneous rupture of the unscarred uterus during labor is rare, with only one case recorded at our institution over a 10-year period. Risk factors include weakness of the uterine muscle and the application of fundal pressure. Early detection and immediate surgical intervention are the mainstays of management.
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------>authors2=Huang LW
------>authors3=Hwang JL
------>authors4=Lee CY
------>authors5=Tsai YL
------>authors6=Cheng WC
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------>authors=Pan HS
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------>updateTitle=Uterine rupture in an unscarred uterus after application of fundal pressure. A case report.
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------>publish_year=2002
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------>publish_month=1
A B C D E F G H I J K L M N O P Q R S T U V W X Y Z