Case 1
(1967-1977)
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Para 1
-Hysterotomy (20 weeks) with vertical incision.
-Complete rupture of vertical scar (40 weeks) after vaginal delivery
(stillbirth).
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-Four years after previous rupture.
-Acute abdomen (29 weeks); immediate CS: complete rupture in vertical
scar; placental separation and infant extrusion.
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Stillbirth due to rupture.
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Case 2
(1978-1988)
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Para 3
-Vaginal delivery, then emergency CS with vertical incision (breech at
term).
-Complete rupture (39 weeks) in vertical scar after labour start
(stillbirth).
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-Five years after previous rupture.
- Acute abdomen (30 weeks); immediate CS: complete rupture in vertical
scar.
|
Good Apgar score with no signs of asphyxia; early neonatal death due to
severe multiple congenital malformations.
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Case 3
(2000-2011)
|
Para 1
-Uncompleted transcervical resection of myom (fundal perforation).
-Pre-labour fundal rupture
(27 weeks; neonatal death).
|
-One year after previous rupture.
-Mild abdominal pain/admission (25-29 weeks).
-Acute abdomen (32 weeks); immediate CS: fundal rupture & placenta
increta.
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Only moderate asphyxia; admitted to neonatal intensive care unit (NICU)
and discharged healthy.
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