Rupture of an unscarred uterus? - page 2

by 2curlygirls 3,882 Views | 13 Comments

We had a uterine rupture this morning. Baby was severely compromised and mom ended up in ICU. Mom was a multip with a previous NSVD. It was a post-dates induction. I know uterine ruptures are pretty rare but can someone... Read More


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    It's very rare. I know we usually think of UR as something in VBAC attempts but the population of women VBACing is pretty low so I've found that most nurses who witness a UR seem to witness them in an unscarred uterus.

    Unfortunately, cytotec has been known to cause ruptures in women without a previous uterine surgery. It would be interesting to find out the dose used on this woman (and how often).

    Cytotec was used on many VBAC patients in the 90s which caused a lot of UR and therefore made VBAC a "bad" choice. Instead of blaming the cyctotec, the VBAC attempt was blamed.
    Elvish and LookingAhead like this.
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    In 43 years, I can think of only one spontaneous rupture in a nullip not on Pit and in early labor. She was just starting to think about going to the hospital to see if she was in labor when she had sudden terrible pain. When she got to the hospital, she was found to be ruptured. The baby did not survive.

    With her second baby, she had a repeat of the same thing--sudden horrible pain out of nowhere. Her husband called the medical helicopter service to come to their home and when told that they had to be sent by a doctor, he said this happened with the last pregnancy and the baby died and if he lost his wife or baby, he'd own the company. They landed in the street outside his front door and got his wife to the hospital in time to get a good baby.

    All the other ruptures I've seen were obstructed labor (but not in 30+ years), or on Pit or had previous uterine surgery.
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    I saw it twice in 16 years of doing L&D. Very scary.
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    Quote from rbytsdy
    Unfortunately, cytotec has been known to cause ruptures in women without a previous uterine surgery.

    Cytotec was used on many VBAC patients in the 90s which caused a lot of UR and therefore made VBAC a "bad" choice. Instead of blaming the cyctotec, the VBAC attempt was blamed.
    I hated using Cytotec. It usually caused ctx to be too strong and, unlike Pit, you couldn't decrease it. I found it to be very unpredictable - worked fine for some, but slammed others. Plus, it's so hard to insert. It always wanted to stick to the glove and not stay where I was placing it.


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