Uterine rupture during induction of labor at term with intravaginal misoprostol.
case_report · Level V
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- Record sourced from PubMed, PMID 9166339.
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Abstract
Misoprostol (prostaglandin E1) compares favorably with dinoprostone (prostaglandin E2) and oxytocin for labor induction at term. Excessive uterine activity has been reported using high-dose regimens, but no negative effect on outcomes has been observed. Labor was induced in a 34-year-old multipara at 39 weeks' gestation using intravaginal misoprostol tablets. Five hours after administration of the second 25-microgram dose, fetal bradycardia prompted emergency cesarean delivery. Hysterectomy and left salpingo-oophorectomy were necessary to control bleeding from a 15-cm posterior uterine wall rupture. Misoprostol can cause excessive uterine activity and uterine rupture.
Medical subject headings
- Labor, Induced
- Misoprostol
- Oxytocics
- Uterine Rupture