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Intrauterine twin pregnancy complicated by cornual heterotopic pregnancy: A case report and narrative review.
Eur J Obstet Gynecol Reprod Biol
March 2025
Prenatal Diagnosis Center, The International Peace Maternity and Child Health Hospital, School of Medicine, Shanghai Jiao Tong University, Shanghai, China; Shanghai Key Laboratory of Embryo Original Diseases, Shanghai, China; Shanghai Municipal Key Clinical Specialty, Shanghai, China. Electronic address:
Background: Intrauterine twin pregnancy complicated by cornual heterotopic pregnancy is a rare pregnancy situation that demands effective intervention to avert rupture of the cornual pregnancy, while also striving to preserve the intrauterine fetus.
Case Description: A 31-year-old woman presented with a complex pregnancy scenario involving an intrauterine twin gestation alongside a cornual heterotopic pregnancy subsequent to in vitro fertilization (IVF) treatment. Under the guidance of abdominal ultrasound, a transabdominal puncture was performed to administer potassium chloride directly at the site of fetal heartbeats for the purpose of fetal reduction, and to aspirate a portion of the fluid within the gestational sac to reduce its volume.
Laparoscopic repair of uterine rupture after delivery: A comprehensive evaluation of the uterine rupture management, with a proposal surgical method.
Int J Gynaecol Obstet
March 2025
Department of Obstetrics and Gynecology, and CERICSAL (CEntro di RIcerca Clinico SALentino), "Veris delli Ponti" Hospital, Lecce, Italy.
Uterine rupture constitutes a critical obstetric emergency that presents substantial risks to both the maternal and fetal populations. This investigation evaluated the surgical interventions available for uterine rupture, emphasizing laparoscopic repair subsequent to uterine rupture. Laparoscopic repair serves as a fertility-sustaining alternative to conventional laparotomy, demonstrating comparable operative durations of 80 min (interquartile range [IQR] 60-114) for laparoscopic procedures versus 78 min (IQR 58-114) for laparotomy interventions.
View Article and Find Full Text PDFAnalysis of the uterine rupture during pregnancy and delivery in a provincial maternal and children care hospital in China: 2013-2022.
BMC Pregnancy Childbirth
March 2025
Patient Case Management Section, Hunan Provincial Maternal and Child Health Care Hospital, Changsha, Hunan Province, China.
Background: Uterine rupture is rare and life-threatening for both mothers and newborns. This study aimed to explore the clinical manifestation, site of rupture, obstetric risk factors, maternal and neonatal complications, and birth outcomes with mid-trimester and late-pregnancy uterine rupture.
Methods: Data from patients with uterine rupture occurring at Hunan Maternal and Child Health Hospital between January 2013 and December 2022 were reviewed retrospectively.
Analysis of influencing factors and establishment of prediction model for successful vaginal delivery after cesarean section.
Front Glob Womens Health
February 2025
Department of Obstetrics and Gynecology, Third Affiliated Hospital of Guangzhou Medical University, Guangzhou, Guangdong, China.
Objective: To explore the influencing factors of vaginal delivery after cesarean section, establish a predictive model, and identify potential factors for perinatal complications.
Materials And Methods: This is a retrospective analysis of women who attempted a trial of labor after cesarean section(TOLAC) at the Third Affiliated Hospital of Guangzhou Medical University and subsequently gave birth in this hospital between 31 December 31 2017 and December 2023. Associations between maternal characteristics and success of TOLAC were assessed using univariate and logistic regression.
Two-layer interrupted versus two-layer continuous sutures for preventing cesarean scar defect: a randomized controlled trial.
BMC Pregnancy Childbirth
March 2025
Department of Obstetrics and Gynecology, Shiga University of Medical Science, Seta Tsukinowa-cho, Otsu, Shiga, 520-2192, Japan.
Background: Cesarean scar defects can lead to long-term complications, such as cesarean scar disorders, cesarean scar pregnancy, and the risk of uterine scar dehiscence and rupture in subsequent pregnancy. However, the optimal closure technique to prevent the development of cesarean scar defects (CSD) remains unclear. Therefore, this study aimed to explore whether two-layer interrupted versus two-layer continuous sutures could prevent the formation of CSD.
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