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Uterine dehiscence during initiation of spinal anesthesia for cesarean delivery

Eng Tiong1, Nasreen Shammas, Erez Ben-Menachem

  • 1From the *Department of Anaesthesia, Fairfield Hospital; and †Department of Anaesthesia, Fairfield Hospital and St Vincent's Hospital, Sydney, New South Wales, Australia.

A & a Case Reports
|January 23, 2015
PubMed

Uterine dehiscence is a known but uncommon complication during pregnancy. The symptoms of uterine dehiscence can be subclinical and usually occur during prolonged augmented labor in women who had previous cesarean delivery and/or are carrying a macrosomic baby. It can be associated with maternal and fetal hemodynamic compromise and complications. However, to our knowledge, spontaneous uterine dehiscence during performance of spinal anesthesia for an elective cesarean delivery has not been reported in obstetric anesthesia practice. Here, we report a case of uterine dehiscence while subarachnoid block was being performed.

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