However, uterine rupture is more common among women with a history of a cesarean delivery. Robust uterine contractions from precipitous labor may damage the uterus and birth canal, leading to uterine rupture. Complications may include genital tract lacerations, uterine rupture, postpartum hemorrhage (PPH), placental abruption, and prolonged length of hospital stay. Despite its low incidence, precipitous labor can lead to life-threatening complications, thus increasing maternal and fetal morbidity and mortality. Risk factors for precipitous labor include multiparity, chronic hypertension, prostaglandin E-2 induction, low birth weight (<2500 g), and assisted reproductive treatments, ,, ]. Precipitous labor is rare, with an incidence of 0.1–3% in the United States. Precipitous labor and delivery is an abnormally rapid process, defined as fetal delivery within three hours after labor onset with regular contractions.
The expectation of labor results in the continued progression of cervical dilation, delivery of the fetus, and delivery of the placenta, otherwise known as the three stages of labor. The onset of labor occurs with effective and consistent contractions every three to five minutes. Thorough evaluation after precipitous delivery is critical to decrease maternal morbidity and mortality secondary to uterine artery injury. This seems to be the first published case report of precipitous delivery associated with uterine artery laceration and uterine rupture. Her labor course was precipitous and complicated by uterine rupture and uterine artery laceration with postpartum hemorrhage that required massive transfusion, exploratory laparotomy with a supracervical hysterectomy, and interventional radiology for uterine and cervical artery embolization.
This is a case report of a 39-year-old woman, gravida 2 para 1, at 39 weeks of gestation who delivered after induction of labor due to chronic hypertension. Careful evaluation for trauma and aggressive resuscitation are critical to prevent maternal morbidity and mortality. Uterine artery laceration is a rare complication that can lead to significant postpartum hemorrhage and injury. Complications of precipitous delivery can include vascular trauma, uterine rupture, and uterine artery laceration. Precipitous delivery is associated with rapid cervical dilation and fetal descent.
0 kommentar(er)
