زایمان موفق بعد از پارگی رحم در بیمار با حاملگی دو قلویی و سابقه رحم دوشاخ و جراحی استراسمن قبلی

Title: Successful Delivery after Uterine Rupture with previous Open Strassman Metroplasty for a Bicornuate Uterus in a Twin Pregnancy.


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دانشگاه علوم پزشکی تبریز
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نویسندگان: فاطمه طباطبایی , مریم محمدی یوشانلویی

عنوان کنگره / همایش: 16th International Congress of Obstetrics & Gynecology 21-25 October, Tehran, Iran , , Tehran , 2021

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نویسنده ثبت کننده مقاله فاطمه طباطبایی
مرحله جاری مقاله تایید نهایی
دانشکده/مرکز مربوطه دانشکده پزشکی
کد مقاله 77100
عنوان فارسی مقاله زایمان موفق بعد از پارگی رحم در بیمار با حاملگی دو قلویی و سابقه رحم دوشاخ و جراحی استراسمن قبلی
عنوان لاتین مقاله Title: Successful Delivery after Uterine Rupture with previous Open Strassman Metroplasty for a Bicornuate Uterus in a Twin Pregnancy.
نوع ارائه پوستر
عنوان کنگره / همایش 16th International Congress of Obstetrics & Gynecology 21-25 October, Tehran, Iran
نوع کنگره / همایش بین المللی
کشور محل برگزاری کنگره/ همایش
شهر محل برگزاری کنگره/ همایش Tehran
سال انتشار/ ارائه شمسی 1400
سال انتشار/ارائه میلادی 2021
تاریخ شمسی شروع و خاتمه کنگره/همایش 1400/07/29 الی 1400/08/03
آدرس لینک مقاله/ همایش در شبکه اینترنت
آدرس علمی (Affiliation) نویسنده متقاضی Fatemeh Tabatabaei (MD), Department of Obstetrics and Gynecology, Division of Gynecologic Laparoscopic Surgeries, School of Medicine, Tabriz University of Medical Sciences, Tabriz, Iran.

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نویسنده نفر چندم مقاله
فاطمه طباطباییاول
مریم محمدی یوشانلوییدوم

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عنوان متن
کلمات کلیدیUterine Rupture, Pregnancy, Metroplasty
خلاصه مقالهAbstract A bicornuate uterus can have adverse effects on fertility and obstetric outcomes, which may be improved through correction surgery. Accordingly, uterine rupture as a life-threatening condition for both mother and fetus is the major complication associated with the surgical repair of a bicornuate uterus. This study reported a 29-year-old mother having twin pregnancy following in vitro fertilization (IVF) and presented with sudden onset of acute abdominal pain at week 33 of gestational age. She also had a history of Strassman metroplasty for a bicornuate uterus. Besides, her primary vital signs measured were unstable; therefore, she was admitted with no delay. Then, she underwent an emergency laparotomy with the suspected uterine rupture. Massive intraperitoneal hemorrhage in addition to entirely ruptured uterus was seen upon opening the peritoneal cavity. As well, the two live fetuses, left in the upper abdominal cavity, were removed from the abdominal cavity and the uterus was repaired with interrupted sutures. Finally, the intensive resuscitation of both fetuses and the mother began immediately. It was concluded that the surgical repair of a bicornuate uterus was associated with better pregnancy outcomes and higher live birth rates; however, more regular prenatal care and timed preterm delivery were needed to mitigate the complications particularly at an advanced gestational age due to excessive distension of the uterus and the possibility of rupture of the previous surgical site, as observed in this case.

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