Asociación de rotura uterina y vesical: una complicación infrecuente en partos eutócicos con cesárea anterior / Association of uterine and bladder rupture: an infrequent complication in eutocic deliveries with previous caesarean section
Prog. obstet. ginecol. (Ed. impr.)
; 62(6): 567-569, nov.-dic. 2019. ilus
Article
em Es
| IBECS
| ID: ibc-192144
Biblioteca responsável:
ES1.1
Localização: BNCS
RESUMEN
El parto vaginal después de una cesárea segmentaria transversa anterior es considerado una alternativa segura y efectiva a la cesárea electiva si las condiciones obstétricas lo permiten. Una de las complicaciones más graves es la rotura uterina, la cual se asocia de forma inusual a rotura de vejiga urinaria. Se reporta un caso clínico de un parto vaginal acompañado de rotura uterina y de vejiga urinaria en tercigesta con cesárea anterior. En conclusión, en gestantes con cesárea anterior, con o sin sintomatología intraparto, se ha de considerar la asociación de rotura de la vejiga urinaria y uterina debida a la existencia de mayor riesgo de adherencias entre la pared anterior uterina y la vejiga urinaria. Ante hematuria posparto, siempre descartar rotura vesical. Se considera de alta importancia el consejo prenatal para recordar los riesgos implicados en gestantes que optan por un parto vaginal con cesárea anterior
ABSTRACT
Vaginal birth after a caesarean section is considered a safe and effective alternative to elective caesarean if obstetric conditions allow it. One of the most serious complications is uterine rupture, which is infrequently associated with bladder rupture. A clinical case of a vaginal birth associated to uterine and bladder rupture is reported in a multiparous with a previous caesarean section. In conclusion, in pregnant women with a previous caesarean section, with or without intrapartum symptoms, it has to be considered the association with bladder rupture and uterine rupture due to the mayor risk of adherences between the anterior uterine wall and the bladder. Against hematuria postpartum, always discard bladder rupture. It is considered of high importance the prenatal advice to remember the implicated risks in pregnant women who choose a vaginal birth with a previous caesarean
Texto completo:
1
Coleções:
06-national
/
ES
Base de dados:
IBECS
Assunto principal:
Nascimento Vaginal Após Cesárea
/
Fístula Vesicovaginal
/
Complicações do Trabalho de Parto
Limite:
Adult
/
Female
/
Humans
Idioma:
Es
Revista:
Prog. obstet. ginecol. (Ed. impr.)
Ano de publicação:
2019
Tipo de documento:
Article