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Case Reports
. 2021 Jan 18;14(1):e236993.
doi: 10.1136/bcr-2020-236993.

Two uterine scars and a vaginal birth

Christine Wu  1 , James Christie  2 , Roshini Nayyar  3
Affiliations
Case Reports

Two uterine scars and a vaginal birth

Christine Wu et al. BMJ Case Rep. .

Abstract

Uterine scarring increases the risk of uterine rupture during labour, which can result in significant maternal and fetal morbidity and mortality. There is insufficient evidence for a clear recommendation on the safety of vaginal delivery in the context of a patient with both a uterine perforation and a previous lower uterine segment caesarean section. We present the case of a woman with a history of one previous caesarean section and uterine perforation with a uterine manipulator, who subsequently had an uncomplicated normal vaginal delivery.

Keywords: obstetrics and gynaecology; radiology.

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Conflict of interest statement

Competing interests: None declared.

Figures

Figure 1
Figure 1
Uterine perforation with ClearView Uterine Manipulator.
Figure 2
Figure 2
MRI abdomen of gravid uterus showing fundal thinning in the region of previous uterine perforation (arrow).
See this image and copyright information in PMC

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