[Rupture of splenic artery aneurysm--life-threatening condition for women during pregnancy and after birth (with report of one case)].

Spontaneous rupture of a splenic artery aneurysm is an uncommon and usually catastrophic event during pregnancy and puerperium. The mortality rate among pregnant women is very high at 75% with a fetus mortality rate of 95%. This report describes the clinical course of a 25-year-old woman with hemorrhagic shock four hours after elective Cesarean Section.

[Caesarean section by vertical incision of lower uterine segment].

Objectives: The aim of the study is to analyze the use of vertical incision of the lower uterine segment when performing Caesarean section (CS).

Material And Methods: The study includes 89 pregnant women who delivered by CS. The main group includes 40 cases with vertical incision in lower uterine segment (preliminary intention, but final decision made during surgery) and controls--49 cases with transversal incision of lower uterus segment with difficulties/complications of fetus extraction (30 with uterine lacerations and 19 with T-form incision).