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Successful pregnancy in a woman with uterine scarring by transverse fundal cesarean section

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Title: Successful pregnancy in a woman with uterine scarring by transverse fundal cesarean section
Authors: Nishida, Ryutaro Browse this author
Morikawa, Mamoru Browse this author →KAKEN DB
Yamada, Takahiro Browse this author →KAKEN DB
Takeda, Masamitsu Browse this author
Akaishi, Rina Browse this author
Cho, Kazutoshi Browse this author →KAKEN DB
Minakami, Hisanori Browse this author →KAKEN DB
Keywords: cesarean hysterectomy
placenta accreta
placenta previa
postpartum hemorrhage
Issue Date: May-2014
Publisher: Blackwell Publishing
Journal Title: Journal of Obstetrics and Gynaecology Research
Volume: 40
Issue: 5
Start Page: 1420
End Page: 1422
Publisher DOI: 10.1111/jog.12361
PMID: 24754852
Abstract: There has been only one case to date of pregnancy outcome after fundal transverse cesarean section (FTC). We report a pregnancy established after FTC. The FTC was performed at gestational week (GW) 24 in this patient’s first pregnancy, but the uteruswas preserved.Magnetic resonance imaging studies performed four times in her second pregnancy consistently showed part of the uterine fundus in which the muscle layer was interrupted. Concern regarding spontaneous uterine rupture in the absence of labor pains prompted us to interrupt her pregnancy at GW 31+5, delivering a premature, but otherwise healthy female infant, weighing 1832 g. The infant required transient intratracheal intubation for respiratory distress syndrome (for less than 1 h), but had an otherwise uneventful clinical course. Two cases, including ours, suggest that successful pregnancy outcome is feasible at least in some women with uterine scarring due to FTC.
Rights: The definitive version is available at Wiley Online Library ,
Type: article (author version)
Appears in Collections:医学院・医学研究院 (Graduate School of Medicine / Faculty of Medicine) > 雑誌発表論文等 (Peer-reviewed Journal Articles, etc)

Submitter: 水上 尚典

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