کد مقاله کد نشریه سال انتشار مقاله انگلیسی نسخه تمام متن
6173800 1599802 2014 5 صفحه PDF دانلود رایگان
عنوان انگلیسی مقاله ISI
Signs, symptoms and complications of complete and partial uterine ruptures during pregnancy and delivery
ترجمه فارسی عنوان
علائم، علائم و عوارض پارگی کامل و جزئی رحم در دوران بارداری و زایمان
موضوعات مرتبط
علوم پزشکی و سلامت پزشکی و دندانپزشکی زنان، زایمان و بهداشت زنان
چکیده انگلیسی

ObjectivesUterine rupture is a rare but potentially catastrophic complication of pregnancy that requires rapid diagnosis. Classically, its signs and symptoms combine pain, fetal heart rate (FHR) abnormalities, and vaginal bleeding. The purpose of this study is to identify these signs and symptoms as well as the immediate complications of complete and incomplete (partial) ruptures of the uterine wall, whether or not they follow a previous cesarean delivery.Study designRetrospective study of case records from two university hospital maternity units, from 1987 to 2008.ResultsIn a total of 97,028 births during the study period, we identified 52 uterine ruptures (0.05%): 25 complete and 27 partial. Most (89%) occurred in women with a previous cesarean delivery. In complete ruptures, FHR abnormalities were the most frequent sign (82%), while the complete triad of FHR abnormalities-pain-vaginal bleeding was present in only 9%. The signs and symptoms of partial ruptures were very different; these were asymptomatic in half the cases (48%). Neonatal mortality reached 13.6% among the complete ruptures; 27 and 40% of these newborns had pH < 6.80 and pH < 7.0, respectively. Among the incomplete ruptures, only 7.7% of the newborns had a pH < 7.0 and there were no deaths.ConclusionAlthough complete rupture of the uterus has a severe neonatal prognosis, the complete set of standard symptoms is present in less than 10% of cases. FHR abnormalities are by far the most frequent sign.

ناشر
Database: Elsevier - ScienceDirect (ساینس دایرکت)
Journal: European Journal of Obstetrics & Gynecology and Reproductive Biology - Volume 179, August 2014, Pages 130-134
نویسندگان
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