open access

https://hdl.handle.net/2115/59108

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

英語

postpartum hemorrhage

2014-05

Wiley

Journal of Obstetrics and Gynaecology Research

40(5)

1420-1422

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.

学術雑誌論文

Accepted Manuscript

The definitive version is available at Wiley Online Library , www.wileyonlinelibrary.com.

1341-8076

1447-0756

AA11082002