Spontaneus delivery after two previous caesarean sections – case report

Czech version

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

Overview

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

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