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Third consecutive complete posterior uterine rupture. A case report
Y Oyelese1, A Ikomi, I T Manyonda
1Department of Obstetrics and Gynaecology, St. George's Hospital Medical School, London, U.K. yinkamd@aol.com
Background:
Management of pregnancy in a woman who has had a ruptured uterus on more than one occasion presents a great clinical and ethical challenge to the obstetrician.
Case:
This appears to be the first report on complete uterine ruptures in three consecutive pregnancies.
Conclusion:
Prolonged hospital admission, intensive antenatal surveillance, antenatal steroid administration and elective premature delivery may give the best chance for a good outcome in these pregnancies. However, despite all these efforts, there is still a high risk of an unfavorable outcome.
