两次剖宫产史和一次阴道分娩。
Two uterine scars and a vaginal birth.
机构信息
Obstetrics and Gynaecology, Westmead Hospital, Westmead, New South Wales, Australia
PRP Diagnostic Imaging, Sydney, New South Wales, Australia.
出版信息
BMJ Case Rep. 2021 Jan 18;14(1):e236993. doi: 10.1136/bcr-2020-236993.
Abstract
Uterine scarring increases the risk of uterine rupture during labour, which can result in significant maternal and fetal morbidity and mortality. There is insufficient evidence for a clear recommendation on the safety of vaginal delivery in the context of a patient with both a uterine perforation and a previous lower uterine segment caesarean section. We present the case of a woman with a history of one previous caesarean section and uterine perforation with a uterine manipulator, who subsequently had an uncomplicated normal vaginal delivery.
摘要
子宫瘢痕会增加分娩时子宫破裂的风险，从而导致产妇和胎儿发病率和死亡率显著增加。对于既有子宫穿孔又有先前下段剖宫产史的患者，阴道分娩的安全性尚无明确推荐意见，证据也不充分。我们报告了 1 例既往有 1 次剖宫产和子宫操纵器所致子宫穿孔史的女性，随后顺利经阴道分娩。
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本文引用的文献
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Antepartum uterine rupture in a woman with previous iatrogenic uterine perforation.一名曾有医源性子宫穿孔的女性发生产前子宫破裂。
BMJ Case Rep. 2020 Aug 24;13(8):e235964. doi: 10.1136/bcr-2020-235964.
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Successful pregnancy with fundal placenta percreta replacing the myometrial defect from previous uterine rupture.胎盘植入子宫底部并替代既往子宫破裂处的肌层缺损，成功妊娠。
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Comparison of scar thickness measurements using trans-vaginal sonography and MRI in cases of pregnancy with previous caesarean section. Do they correlate with actual scar thickness?经阴道超声检查和磁共振成像测量剖宫产史孕妇瘢痕厚度的比较。它们与实际瘢痕厚度相关吗？
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