Spontaneus delivery after two previous caesarean sections – case report

Česká verze

Authors: P. Šašková; Tomáš Fait ; Z. Žižka
Authors place of work: Gynekologicko-porodnická klinika 1. LF UK a VFN, Praha přednosta prof. MUDr. A. Martan, DrSc.
Published in the journal: Ceska Gynekol 2016; 81(3): 212-217

Summary

Objective:
To demonstrate the higher risk of the uterine dehiscence/rupture in spontaneously delivering women with scared uterus.

Design:
Case report.

Setting:
Department of Obstetrics and Gynecology, General Teaching Hospital in Prague and First Medical School, Charles University.

Case report:
We demonstrate the risk of uterine dehiscence on the example of 36 year-old woman with two previous caesarean sections who decided to give birth spontaneously.

Conclusion:
The scars on uterus are the risk factor for uterine dehiscence and rupture. In present, the rising number of caesarean sections leads to increasing number of women with scars on uterus. Despite the potential risk of scars on the uterus, small number of women with history of surgery on uterus plans to give birth spontaneously. We demonstrate the higher risk of the uterine dehiscence after spontaneous delivery in woman with history of two caesarean sections and successful conservative therapy.

Keywords:
uterine rupture, uterine dehiscence, spontaneus delivery, scared uterus, caesarean section, pregnancy

Zdroje

1. Al-Zirqi, I., Stray-Pedersen, B., Forsén, L., Vangen, S. Uterine rupture after previous caesarean section. BJOG, 2010, 117, 7, p. 809–820.

2. American College of Obstetricians and Gynecologists. ACOG Practice bulletin no. 115: Vaginal birth after previous cesarean delivery. Obstet Gynecol, 2010, 116, 2 Pt 1: p. 450.

3. Bujold, E., Bujold, C., Hamilton, EF., et al. The impact of a single-layer or double-layer closure on uterine rupture. Am J Obstet Gynecol, 2002, 186, 6, p. 1326–1330.

4. Cahill, AG., Stamilio, DM., Odibo, J., et al. Is vaginal birth after cesarean (VBAC) or elective repeat cesarean safer in women with a prior vaginal delivery? Am J Obstet Gynecol, 2006, 195, 4, p. 1143–1147.

5. Gelbmann, CM., Kollinger, M., Gmeinwieser, J., et al. Case report: spontaneous rupture of liver in a patient with ehlers danlos disease Type IV. Digestive Dis Sci, 1997, 42, 8, p. 1724–1730.

6. Gharaibeh, AM., Al-Bdour, AE., Akasheh, HF. The mounting rate of cesarean sections. Is it accompanied by a drop in instrumental births?. Saudi medical J, 2008, 29, 2, p. 267–270.

7. Hamar, BD., Levine, D., Katz, NL., Lim, KH. Expectant management of uterine dehiscence in the second trimester of pregnancy. Obstet Gynec, 2003, 102, 5, Part 2, p. 1139–1142.

8. Hammoud, A., Hendler, I., Gauthier, RJ., et al. The effect of gestational age on trial of labor after cesarean section. J Maternal-Fetal Neonatal Med, 2004, 15, 3, p. 202–206.

9. Hasbargen, U., Summerer-Moustaki, M., Hillemanns, P., et al. Uterine dehiscence in a nullipara, diagnosed by MRI, following use of unipolar electrocautery during laparoscopic myomectomy: case report. Hum Reprod, 2002, 17, 8, p. 2180–2182.

10. Incebiyik, A., Hilali, NG., Karakas, ACE., et al. A conservative approach to uterine dehiscence cases without bleeding after cesarean: a review of 3 cases. Acta Medica, 2013, 29, p. 403.

11. Landon, MB., Hauth, JC., Leveno, KJ., et al. Maternal and perinatal outcomes associated with a trial of labor after prior cesarean delivery. N Engl J Med, 2004, 351, 25, p. 2581–2589.

12. Landon, MB., Spong, CY., Thom, E., et al. Risk of uterine rupture with a trial of labor in women with multiple and single prior cesarean delivery. Obstet Gynecol, 2006, 108, 1, p. 12–20.

13. Manoharan, M., Wuntakal, R., Erskine, K. Uterine rupture: a revisit. Obstet Gynaecolog, 2010, 12, 4, p. 223–230.

14. Matsuo, K., Scanlon, JT., Atlas, RO., Kopelman, JN. Staircase sign: a newly described uterine contraction pattern seen in rupture of unscarred gravid uterus. J Obstet Gynaecol Res, 2008, 34, 1, p. 100–104.

15. Mercer, BM., Gilbert, S., Landon, MB., et al. Labor outcomes with increasing number of prior vaginal births after cesarean delivery. Obstet Gynecol, 2008, 111, 2, Part 1, p. 285–291.

16. Miller, DA., Goodwin, TM., Gherman, RB., Paul, RH. Intrapartum rupture of the unscarred uterus. Obstet Gynecol, 1997, 89, 5, Part 1, p. 671–673.

17. Office of Disease Prevention and Health Promotion (ODPHP). HealthyPeople.gov. Healthy People 2020. Maternal, Infant and Child Health [online]. Washington, Columbia: ODPHP, © 2014. Site last updated 04/27/16. [Cit. 2016-04-27]. Dostupné z: http://www.healthypeople.gov/2020/topics-objectives/topic/maternal-infant-and-child-health/objectives

18. Ofir, K., Sheiner, E., Levy, A., et al. Uterine rupture: risk factors and pregnancy outcome. Am J Obstet Gynecol, 2003, 189, 4, p. 1042–1046.

19. Ofir, K., Sheiner, E., Levy, A., et al. Uterine rupture: differences between a scarred and an unscarred uterus. Am J Obstet Gynecol, 2004, 191, 2, p. 425–429.

20. Ritchie, EH. Pregnancy after rupture of the pregnant uterus. BJOG, 1971, 78, 7, p. 642–648.

21. Rozenberg, P., Goffinet, F., Philippe, HJ., Nisand, I. [Echographic measurement of the inferior uterine segment for assessing the risk of uterine rupture]. J Gynec Obstet Biol Reprod, 1996, 26, 5, p. 513–519.

22. Shipp, TD., Zelop, C., Repke, JT., et al. The association of maternal age and symptomatic uterine rupture during a trial of labor after prior cesarean delivery. Obstet Gynecol, 2002, 99, 4, p. 585–588.

23. Shipp, TD., Zelop, C., Lieberman, E. Assessment of the rate of uterine rupture at the first prenatal visit: a preliminary evaluation. J Maternal-Fetal Neonatal Med, 2008, 21, 2, p. 129–133.

24. Smith, GC., White, IR., Pell, JP., Dobbie, R. Predicting cesarean section and uterine rupture among women attempting vaginal birth after prior cesarean section. PLoS Med, 2005, 2, 9, p. 871.

25. Society of Obstetricians and Gynaecologists of Canada. SOGC clinical practice guidelines. Guidelines for vaginal birth after previous caesarean birth. Number 155 (Replaces guideline Number 147), February 2005. International journal of gynaecology and obstetrics: the official organ of the International Federation of Gynaecology and Obstetrics, 2005, 89, 3, p. 319.

26. Tahseen, S., Griffiths, M. Vaginal birth after two caesarean sections (VBAC-2) – a systematic review with meta-analysis of success rate and adverse outcomes of VBAC-2 versus VBAC-1 and repeat (third) caesarean sections. BJOG, 2010, 117, 1, p. 5–19.

27. Thomas, J., Callwood, A., Brocklehurst, P., Walker, J. The national sentinel caesarean section audit. BJOG, 2000, 107, 5, p. 579–580.

28. Wen, SW., Rusen, ID., Walker, M., et al. Comparison of maternal mortality and morbidity between trial of labor and elective cesarean section among women with previous cesarean delivery. Am J Obstet Gynecol, 2004, 191, 4, p. 1263–1269.

29. Zelop, C., Heffner, LJ. The downside of cesarean delivery: short-and long-term complications. Clin Obstet Gynecol, 2004, 47, 2, p. 386–393.