자궁각절제술 후 발생한 임신 35주의 자궁파열 1예

Abstract

Uterine rupture in pregnancy is a rare condition, but an obstetric emergency. It threatens the life of both the mother and the newborn. Hemorrhage from the wound surface is the principal complication. Therefore, mortality rates strongly depend on the time elapsed between onset and diagnosis of the uterine rupture, and on the possibility of immediate surgical intervention. Prompt diagnosis of the uterine rupture is of prime importance. The major risk factor for uterine rupture is previous cesarean delivery. Other risk factors identifi ed as contributing to uterine rupture are malpresentations, second stage dystocia, labor induction, use of epidural for pain control, preterm delivery and delivery after the 42nd week of gestation. We experienced a woman with a history of corneal resection 1 year ago, who suffered uterine rupture at 35 weeks’ gestation during preterm labor