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Uterine rupture during induction of labor at 15 + 2 weeks' gestation: A case report
Shaou Wang1, Xiaoyan Zhu, Jianhao Sun
1Department of Ultrasound, The First People's Hospital of Xiaoshan District, Xiaoshan Affiliated Hospital of Wenzhou Medical University, Hangzhou, China.
Rationale:
Uterine rupture is a rare obstetric complication that can quickly and directly threaten the lives of mothers and babies.
Patient Concerns:
We report a case of a patient with 15w + 2d gestation scarred pregnancy requesting induction of labor, due to insufficient preoperative evaluation and increased dose of intraoperative induction medication, uterine rupture occurred due to tonicity of uterine contractions.
Diagnoses:
Uterine rupture due to mid-pregnancy induction of labor in a patient with scarred pregnancy.
Interventions:
The patient underwent surgical treatment, removal of the embryo and uterine suturing.
Outcomes:
The patient recovered well and was discharged. Follow up visit to our hospital for review, uterus recovered well.
Lessons:
We should improve the preoperative evaluation of patients with scarred pregnancy, comprehensively consider the choice of induction method, the control of medication dosage, strengthen the intraoperative monitoring of high-risk patients, and deal with problems in a timely manner in an effort to minimize the risk of uterine rupture and harm.
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