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Article: Posterior uterine rupture in a woman with a previous Cesarean delivery

Article from:
Journal of Maternal - Fetal & Neonatal Medicine
Article date:
August 1, 2003
Author:
Copyright

A 33-year-old primipara with a previous low transverse Cesarean delivery underwent labor induction at 41 weeks' gestation with a 10-mg dinoprostone vaginal insert. Eleven hours later, with the cervix fully dilated, an emergency Cesarean delivery was performed because of repetitive variable decelerations followed by fetal bradycardia. A posterior uterine wall rupture extending from the fundus to the vagina was repaired in layers. The neonate had an Apgar score of 2 and 4 and expired on the 7th day of life.

Keywords: DINOPROSTONE VAGINAL INSERT; PREVIOUS CESAREAN DELIVERY; POSTERIOR UTERINE RUPTURE

INTRODUCTION

Women with a previous Cesarean delivery who undergo induction of labor with ...

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