[Anencephaly associated with uterine rupture during induced abortion. A clinical case].
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| Abstract |
A 32 year old woman, at the 23rd week + 3 days gestational age, was admitted to our institute for a therapeutic abortion decided because of an ultrasonographic diagnosis of anencephaly. This woman had already had a cesarean section caused by acute fetal stress during labor in 1992. We decided for a labor induction with prostaglandin analogues: we used gemeprost vaginal tablets and after injectable sulproste. During this treatment we observed increasing abdominal pain, slight genital haemorrhage, vanishing HFR, an elevated reduction of haemoglobin (7 g): so, we thought of a uterine rupture. During the intervention, we observed a conspicuous haemoperitonei caused by a complete yielding of the old hysterotomic suture at the cervix border; the placenta and its adnexals get out from the uterine breach and the fetus fluctuated in the abdominal cavity, also enclosed in his unruptured amniotic fluid. Post-intervention course was satisfactory and we discharged the patient during the 7th admission day. Our personal experience shows the importance of a careful monitoring of maternal and fetal conditions during labor induction, particularly in those cases in which a woman was already submitted to a hysterotomy, and especially when the use of different types of prostaglandin drugs may be necessary.
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| Authors | L Calleri, D Gallello, C Taccani, A Porcelli |
| Journal | Minerva ginecologica (Minerva Ginecol) 1997 Jul-Aug Vol. 49 Issue 7-8 Pg. 335-40 ISSN: 0026-4784 [Print] Italy |
| Vernacular Title | Anencefalia associata a rottura di utero in corso di travaglio abortivo indotto. Caso clinico. |
| PMID | 9380296 (Publication Type: Case Reports, Journal Article) |
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