RESUMO
INTRODUCTION: We attempted to establish the frequency of uterine rupture and to address etiological factors, complications, management and maternal and perinatal outcome of complete versus incomplete rupture, with the aim of proposing preventive measures. METHODS: The clinical records of uterine rupture cases managed at the Obstetrics and Gynecology Department of Agri Maternity and Children's Hospital in Turkey from June 2004 to June 2009 were analyzed retrospectively. RESULTS: There were 44 cases of ruptured uterus. Among 24,554 deliveries the total incidence of uterine rupture was 1/558 or 17%. The most common site for the location of rupture was the fundal region (36.36%) followed by the lower segment, isthmic and mixewd types, respectively. DISCUSSION: Prevention must necessarily include regular antenatal care and meticulous screening of high-risk patients. Improved organization and access to maternal care, decentralization of obstetric services into peripheral care units in villages to prevent home deliveries and good supervision during labor can reduce the incidence of this preventable obstetric catastrophe.
Assuntos
Ruptura Uterina/epidemiologia , Ruptura Uterina/etiologia , Adulto , Cesárea/estatística & dados numéricos , Feminino , Humanos , Histerectomia/estatística & dados numéricos , Histeroscopia/estatística & dados numéricos , Incidência , Tempo de Internação/estatística & dados numéricos , Ocitócicos/administração & dosagem , Gravidez , Estudos Retrospectivos , Prova de Trabalho de Parto , Turquia/epidemiologia , Ruptura Uterina/cirurgiaRESUMO
INTRODUCTION: Sacral parasitic twins originate from one fertilized ovum and they have one placenta and the same sex. CASE REPORT: A 23-year-old woman was referred to our clinic. Examination by touch revealed a mass that was in the sacral region but the borders could not be fully examined. The solid mass, which was conjoined to the sacrum, had a soft texture. The infant's appearance was macroscopically normal. When the mass was examined by palpation, there were structures which felt like extremities. The mass was 20 x 11 x 9 cm in size. CONCLUSION: The differential diagnosis should include sacrococcygeal teratoma. In our case the differential diagnosis was done by histopathologic findings. This case, which involved a tumoral formation at the sacral region in the antenatal period, was detected during delivery. A sacral parasite is a rarely seen phenomenon and as such the diagnostic information of this case could be useful.
