Second Trimester Uterine Ruptures: Case Reports

Year 2017, Volume: 14 Issue: 1, 39 - 41, 01.01.2017

Melahat Atasever Alev Özer Numan Çim Seda Şahin Aker

Abstract

Despite modern obstetric developments, uterine rupture is an important obstetric complication causing maternal and fetal morbidity and mortality. The most common cause of uterine rupture is cesarean section in developed countries,,and in other countries the most common cause is difficult births. Uterine rupture symptoms and findings are non-specific. Abdominal pain, vaginal bleeding, and abnormal fetal heart rate cardiotocographic findings are uterine rupture findings. We aimed to present cases of uterine rupture detected in the second trimester, which may delayed diagnosis in if not suspected. Ultrasonographic evaluation of the uterus, with clinical findings in cases of risk for uterine rupture, will facilitate recognition. We decide treatment on maternal and fetal condition, amount of bleeding and future fertilization status.

Keywords

Uterine rupture, caesarean scar pregnancy, risky pregnancy

İkinci Trimesterda Tespit Edilen Uterus Rüptürleri: Olgu Serisi

Abstract

Modern obstetrik gelişmelere rağmen, uterus rüptürü anne ve fetüs için morbidite ve mortaliliteye neden olan önemli bir obstetrik komplikasyondur. Gelişmiş ülkelerde uterus rüptürünün başlıca nedenleri arasında geçirilmiş sezaryen öyküsü iken, gelişmekte olan ülkelerde ise, zorlu doğumlar gelmektedir. Uterus rüptürünün semptom ve bulguları non-spesifiktir. Abdominal ağrı, vajinal kanama ve kardiyotokografide fetal kalp hızı anormallikleri uterus rüptürünü düşündüren belirtilerdir. İkinci trimesterde tespit edilen, şüphelenilmediğinde erken tanının gecikebileceği, uterus rüptürü olgularını literatür eşliğinde sunmayı amaçladık. Uterus rüptürü için risk grubunda olan olgularda klinik bulgular ile birlikte, uterusun ultrasonografik olarak değerlendirilmesi tanıyı kolaylaştıracaktır. Tedaviye karar verirken; annenin ve fetüsün durumu, kanama miktarı ve gelecekteki fertilizasyon durumu da göz önünde bulundurulmalıdır.

Keywords

Uterin rüptür, sezaryen skar gebeliği, riskli gebelik

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