Dinglas C, Rafael T J, Vintzileos A
Division of Maternal-Fetal Medicine, Department of Obstetrics and Gynecology, Winthrop University Hospital , Mineola, NY , USA.
J Matern Fetal Neonatal Med. 2015 May;28(7):839-41. doi: 10.3109/14767058.2014.935326. Epub 2014 Jul 11.
Risk of uterine rupture with trial of labor after cesarean (TOLAC) is less than one percent. Discovery of uterine rupture often occurs during labor. In our case, the uterine scar is discovered to be ruptured during the postpartum period. The exact cause and time of uterine rupture is difficult to ascertain in this case, yet manual palpation of the uterine scar did not aid in the eventual diagnosis.
剖宫产术后阴道试产（TOLAC）子宫破裂的风险低于1%。子宫破裂通常在分娩过程中被发现。在我们的病例中，子宫瘢痕在产后被发现破裂。在这种情况下，子宫破裂的确切原因和时间难以确定，然而对子宫瘢痕进行手动触诊对最终诊断并无帮助。
