A viable childbirth after correction of spontaneous uterine dehiscence

Abstract

We report a case of uterine dehiscence during pregnancy. Uterine dehiscence and rupture are seriouscomplications of pregnancy. This situation takes place especially in women that prior uterine operation(s). Werepresent a 30-year-old woman diagnosed uterine dehiscence at 22ndgestation week. Uterine dehiscence treatedsurgically and then medical treatment was given to prevent preterm labour. At 34thgestation week, the patientwas operated because of preterm labour and an alive foetus was born. The result of the pathologic examinationof the placenta: Placental adhesion failure was detected. In conclusion women with prior caesarean delivery(one or more), ultrasound measurement should be recommended for measuring the lower uterine segmentthickness in order to predict the possibility of uterine dehiscence and rupture.