Nam S H, Choi C H, Song T, Kim W Y, Kim K H, Lee K W
Clin Exp Obstet Gynecol. 2016;43(4):621-623.
Uterine rupture during labor is a serious complication resulting in maternal and neonatal morbidity and mortality. We present the extremely rare case of a 38-year-old gravid woman admitted with labor pain at term, about to experience a uterine rupture during labor. She had previously twice delivered vaginally, and during her third pregnancy had a low transverse Cesarean section. Prior to arriving at the hospital with labor pains, she had routine prenatal care with normal prenatal laboratory tests. One day the woman reported to having sudden epigastric pain, and 40 minutes after her admission a pelvic exam was completed. The unborn baby had a persistent revealed, and a live neonate was promptly delivered with an Apgar score of 1 at one minute and 5 at five minutes. On the fifth postoperative day the woman and her baby were discharged home with no maternal and neonatal complications.
分娩期间子宫破裂是一种严重并发症，可导致母婴发病和死亡。我们报告了一例极为罕见的病例，一名38岁的孕妇足月时因临产疼痛入院，即将在分娩期间发生子宫破裂。她此前曾两次经阴道分娩，第三次怀孕时行低位横切口剖宫产。在因临产疼痛入院前，她接受了常规产前检查，产前实验室检查结果正常。一天，该女子报告突然出现上腹部疼痛，入院40分钟后完成了盆腔检查。未出生的婴儿持续外露，一名活产新生儿迅速娩出，1分钟时阿氏评分1分，5分钟时为5分。术后第五天，该女子及其婴儿出院回家，无母婴并发症。
