Rupture of an unscarred uterus in a quadruplet pregnancy.

Tarney, Christopher M; Whitecar, Paul; Sewell, Mark; Grubish, Lindsay; Hope, Erica · Obstet Gynecol · 2013

case_report · Level V

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Abstract

Uterine rupture of an unscarred uterus is a rare complication in a quadruplet pregnancy. A 30-year-old woman, gravida 4 para 0030, with a quadruplet pregnancy and no previous uterine surgeries presented with moderate vaginal bleeding at 32 4/7 weeks of gestation. Fetal testing was reassuring, and the cervix showed no signs of preterm labor. A decision was made to proceed with cesarean delivery because of the amount of vaginal bleeding, with surgical findings of uterine rupture superior to the lower uterine segment. High-order gestations may be an independent risk factor for uterine rupture.

Medical subject headings