The journal of obstetrics and gynaecology research
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J. Obstet. Gynaecol. Res. · Apr 2009
Review Case ReportsUterine preservation in a woman with spontaneous uterine rupture secondary to placenta percreta on the posterior wall: a case report.
Several cases in which uteruses have been preserved in women with placenta percreta have been reported. We herein report a 38-year-old woman with a history of previous cesarean section who was admitted with lower abdominal pain and vaginal bleeding at 31 weeks of gestation. An urgent exploratory laparotomy revealed active bleeding from the uterine rupture on the posterior uterine wall. ⋯ The postoperative pathological diagnosis was placenta percreta with uterine rupture. The patient and her baby were discharged uneventfully. In some cases of spontaneous uterine rupture secondary to placenta percreta, we can preserve the uterus by performing bilateral uterine vessel occlusion and wedge resection of the ruptured uterine wall.
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J. Obstet. Gynaecol. Res. · Apr 2009
Maternal mortality over the last decade: a changing pattern of death due to alarming rise in hepatitis in the latter five-year period.
To study the causes of maternal mortality in two consecutive five year periods over a decade (1997-2001/2002-2006) in a university hospital. ⋯ Maternal mortality over a period of a decade in an institutional setting exhibited induced septic abortion as the main cause of maternal death during the first five years of the study period (1997-2001). In the second five years of the study period (2002-2006) an alarming rise in infective hepatitis became the main cause of maternal death.