Adenomyosis and uterus rupture during labor.

摘要: Uterus rupture is one of the most important matters emergency obstetric surgery. It usually occurs during last weeks pregnancy labor or delivery. In recent years its frequency now estimated about 0.05% has been considerably increasing. happens in spite a marked improvement assistance whose non-fulfillment always considered principal etiopathogenetic causes. At present time poor antenatal care feto-pelvic disproportion previous Caesarean section scar and oxitocine administration are to be factors. (1) But age number pregnancies successful childbirths anomalies uterine anatomic-histological structure due preceeding hysterotomies curettages (especially ones complicated by perforation fibrosis and/or adenomyosis) also as possible risk According our experience adenomyosis frequent disorder among women child- bearing affecting chiefly aging 30-50 represent etiopatogenetic factor silent since decreases consistence elasticity resistance. So fetuss passage contractions may lead an incomplete laceration that subsequently change into complete with massive internal hemorrhage. (excerpt)