OBSTETRIC MORBIDITY ASSOCIATED WITH CESAREAN NICHE: A CASE REPORT

Nahla Hatam Hamodi
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Abstract

We presented the case of a 32-year-old woman with a history of two early pregnancy losses and previous cesarean delivery 2012. had a laparoscopic repair of the cesarean niche in 2018, she experienced an intrauterine fetal demise at 27 weeks in her subsequent pregnancy, leading to medical management with Misoprostol. In 2023 with new pregnancy at 39 weeks and 6 days gestation, she presented with lower abdominal pain, necessitating emergency management with cesarean section due to a scar dehiscence-like pouch. A baby girl was delivered with favorable outcomes. This case underscores the importance of early diagnosis and appropriate management of cesarean niche pregnancy to prevent maternal complications. Early recognition and prompt intervention are crucial for optimizing outcomes in cesarean niche pregnancies.
与剖宫产龛位相关的产科发病率:病例报告
我们介绍了一例 32 岁女性的病例,她曾有过两次早孕流产史,并于 2012 年进行了剖宫产。2018 年,她在腹腔镜下修复了剖宫产龛,但在随后的妊娠中,她在 27 周时经历了一次宫内胎儿夭折,医生用米索前列醇进行了处理。2023 年,她再次怀孕,孕 39 周零 6 天时出现下腹痛,由于疤痕裂开样囊袋,必须紧急进行剖宫产手术。最后顺利产下一名女婴。该病例强调了早期诊断和适当处理剖宫产龛位妊娠对预防产妇并发症的重要性。早期识别和及时干预对于优化剖宫产壁龛妊娠的预后至关重要。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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