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Short interpregnancy interval and misoprostol as additive risks for uterine rupture: a case report
Cassandra E Henderson1, Romany Gawargious Hana, Roman Woroch
1Department of Obstetrics and Gynecology, Division of Maternal Fetal Medicine, Montefiore North Division Medical Center, Albert Einstein College of Medicine, Bronx, New York 10466, USA. chenders@montefiore.org
Background:
Short interpregnancy interval and uterine instrumentation are risk factors for uterine rupture in subsequent pregnancies. Misoprostol as a uterotonic agent is an additive risk factor for rupture of a scarred uterus.
Case:
Misoprostol induction for a term stillbirth was complicated by uterine rupture. Risk factors for this uterine rupture might have included interpregnancy intervals of < 7 months, prior uterine instrumentation, and misoprostol as a uterotonic agent.
Conclusion:
Caution and a high index of suspicion are warranted when using misoprostol as a uterotonic agent after a short interpregnancy interval.
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