TY  - BOOK
AU  - Fanning, Nicole S
TI  - Uterine Rupture at Term in a Patient With Abdominal Cerclage
SN  - 0029-7844
PY  - 2019///
KW  - *Cerclage, Cervical
KW  - *Obstetric Labor Complications/di [Diagnosis]
KW  - *Uterine Rupture/di [Diagnosis]
KW  - Adult
KW  - Cesarean Section
KW  - Diagnosis, Differential
KW  - Female
KW  - Humans
KW  - Infant, Newborn
KW  - Obstetric Labor Complications/su [Surgery]
KW  - Pregnancy
KW  - Uterine Rupture/su [Surgery]
KW  - MedStar Franklin Square Medical Center
KW  - Journal Article
N1  - Available online from MWHC library: 1995 - present, Available in print through MWHC library: 1999 - 2006
N2  - BACKGROUND: When labor ensues in the setting of transabdominal cerclage, uterine rupture is a potential complication associated with significant morbidity and mortality for both mother and fetus; CASE: A woman with a transabdominal cerclage presented at 39 2/7 weeks of gestation with contractions, tachycardia, abdominal pain, and fetal bradycardia. Emergent cesarean delivery revealed a ruptured uterus with fetus and placenta floating in the abdomen. Neonatal Apgar scores were 2, 2, and 5 at 1, 5, and 10 minutes of life respectively, with cord pH less than 6.8. After transfusion for the mother and rehabilitation for the neonate, both made a good recovery; CONCLUSION: Uterine rupture can be catastrophic, and prevention is paramount. In addition to individualized delivery planning, women with transabdominal cerclage in place should be counseled to present to the hospital immediately in the presence of contractions to prevent poor outcomes
UR  - https://dx.doi.org/10.1097/AOG.0000000000003228
ER  -