Spasmodic Contraction of the Lower Uterine Segment during Labour

Prediction of scar integrity and vaginal birth after caesarean delivery.

A statistically significant association with uterine rupture during a trial of labour after caesarean delivery was found in at least two studies for the following variables: inter-delivery interval (higher risk with short interval), birth weight (higher risk if 4000 g or over), induction of labour (higher risk), oxytocin dose (higher risk with higher doses), and previous vaginal delivery (lower...

Assessment of Myometrial Concentrations of Oestrogen and Progesterone Receptors in the Lower Uterine Segment of Full-Term Pregnancies in Presence or Absence of Labour

OBJECTIVE To assess the concentration of progesterone (PRs) and oestrogen (ORs) receptors of myometrium of full-term pregnant women in the myometrium of lower segment of the uterus in relationship with presence or absence of labour. METHODS This was a cross-sectional prospective study with 21 pregnant women, being 6 in labour (Group I) and 15 without labour (Group II). The biopsy of myometriu...

A viable childbirth after correction of spontaneous uterine dehiscence

We report a case of uterine dehiscence during pregnancy. Uterine dehiscence and rupture are serious complications of pregnancy. This situation takes place especially in women that prior uterine operation(s). We represent a 30-year-old woman diagnosed uterine dehiscence at 22 gestation week. Uterine dehiscence treated surgically and then medical treatment was given to prevent preterm labour. At ...

Discussion on the Lower Uterine Segment in Labour

Rupture of the transverse uterine scar after lower segment caesarean section.

THE lengthening list of indications for Caesarean section makes the management of subsequent deliveries a problem which confronts the obstetrician with ever-increasing frequency. Where the original Caesarean section was performed for a non-recurrent indication, subsequent vaginal delivery may reasonably be expected, and it is customary to allow such patients to go into labour. Even where electi...