Uterine Rupture in Early Pregnancy - A Tertiary Centre Experience

Document Type : Original Article

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Department of Obstetrics and Gynecology, Cairo University, Al Saraya Street, Al Kasr AlAiny, Cairo Egypt

Abstract

Abstract
Background: Rupture uterus is a life-threatening complication, with high maternal and fetal morbidity and mortality. Rupture uterus is more commonly encountered during labour. Rupture uterus during early pregnancy is rarer.   
Methodology: Prospective Observational study in a tertiary center collecting data on the rupture of the uterus in early pregnancy (before 28 weeks). Demographic and clinical data were collected from case files to investigate predisposing factors, diagnose, and evaluate the outcome of these cases to obtain learning lessons.   
Results: We encountered 17 cases of rupture uterus in early pregnancy. Eleven cases had a previous cesarean delivery. Three cases had a prior history of rupture uterus, 2 cases had a congenital uterine anomaly, and one case had a previous history of laparoscopic resection of corneal ectopic pregnancy.
Conclusion: No trimester is immune from rupture uterus. Careful use of prostaglandins for induction of miscarriage is required in patients with previous cesarean delivery even in early pregnancy. Previous history of rupture uterus requires more attention as the risk of repeat rupture is high and it recurs at an earlier gestation. Diagnosis of the ruptured uterus in early pregnancy can be challenging. 

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