Case Reports in Obstetrics and Gynecology · 2016 · 20 citations · 9 references
Public HealthGynecologyObstetricsMaternal MortalityMaternal-fetal MedicineObstetric ComplicationsCesarean DeliveryCesarean SectionEctopic PregnancyIntrapartum HemorrhagePlacental AbruptionUterine RuptureCesarean Scar PregnancyEmergency Cesarean SectionHeterotopic PregnancyIntrapartum Uterine RupturePlacental Abruption ComplicationsRuptured Ectopic PregnancyRuptured UterusUterine Repair
Background . Heterotopic pregnancy is a multiple gestation with both intrauterine and ectopic fetuses. A cesarean scar ectopic pregnancy is when the fetus has implanted over the previous hysterotomy site. A known complication of cesarean scar ectopic pregnancy is uterine rupture, which can cause great morbidity and mortality. Case . 28-year-old G5P3105 at 10 weeks with a dichorionic diamniotic gestation was found to have a ruptured uterus with expulsion of a cesarean scar ectopic pregnancy and retention of the intrauterine fetus. After uterine repair, the singleton gestation reached viability was delivered by emergent cesarean section for placental abruption. Conclusion . Safe management of cesarean ectopic pregnancy requires early diagnosis by ultrasonography. With early detection, management can focus on preventing maternal morbidity of uterine rupture and life-threatening hemorrhage.
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Maternal Morbidity Associated With Multiple Repeat Cesarean Deliveries
Robert M. Silver, Mark B. Landon, Dwight J. Rouse et al. · Obstetrics and Gynecology · 2006 · 1.9K citations
Chao‐Nin Wang, Chun‐Kai Chen, Hsin‐Shih Wang et al. · Fertility and Sterility · 2007 · 54 citations · Full text