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Re: Normal delivery and uterine rupture after c-section From: Lynn D. Montgomery, M.D. (apgar10@montanadsl.net) Thu Feb 24 14:04:09 2005 Messages sorted by: [ date ][ thread ][ subject ][ author ] Next message: Henry Gregor: "Re EMR" Previous message: Ricardo Savaris: "Normal delivery and uterine rupture after c-section" In reply to: Ricardo Savaris: "Normal delivery and uterine rupture after c-section" Next in thread: ainsron: "Re: Normal delivery and uterine rupture after c-section" Reply: ainsron: "Re: Normal delivery and uterine rupture after c-section" Exam to determine if the bleeding is coming from above the cervix (i.e. uterus/incision). Then depending upon the degree of bleeding, make a decision regarding if laparotomy is indicated. I would lean toward conservative management unless bleeding quite heavy. In addition, some are now studying the bladder following scar separation to assure that there are no injuries there. The big question will be what to do with the next pregnancy??? Lynn -- Lynn D. Montgomery, M.D. Maternal-Fetal Medicine, OB/GYN Rocky Mountain Women's Health 2835 Fort Missoula Rd., Suite 304 Missoula, Montana, 59804 406-549-0978 fax 406-549-0987 e-mail: apgar10@montanadsl.net -----Original Message----- From: ob-gyn-l@obgyn.net [mailto:ob-gyn-l@obgyn.net] On Behalf Of Ricardo Savaris Sent: Thursday, February 24, 2005 1:48 PM To: Multiple recipients of list OB-GYN-L Subject: Normal delivery and uterine rupture after c-section Dear all, I has been a long time since my last e.mail, but I have seen the msg. This is the following case. A 27yold, had a normal delivery 10 days ago. She has a previous c-section 2 years ago. She arrives at the ER complaining of vaginal bleeding, and pain. On PE: abdomen: low intensity pain over suprapubic region. Epiotomy painfull, moderate bleeding. US: show a 5cm uterine gap, suggestive of uterine rupture. Free fluid in the abdominal cavity. I just order CBC, no signs of local or systemic infection. Suggestions? -- Ricardo Savaris, MD Porto Alegre - Brasil Next message: Henry Gregor: "Re EMR" Previous message: Ricardo Savaris: "Normal delivery and uterine rupture after c-section" In reply to: Ricardo Savaris: "Normal delivery and uterine rupture after c-section" Next in thread: ainsron: "Re: Normal delivery and uterine rupture after c-section" Reply: ainsron: "Re: Normal delivery and uterine rupture after c-section"

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