Study design: Retrospective cohort study of nulliparous women who underwent vaginal delivery of a vertex presentation. [ohsu.pure.elsevier.com]

We present the first case of spontaneous bladder rupture with cervical laceration after a precipitated vaginal delivery. [rroij.com]

(assisted) (buttocks) (complete) (frank) (spontaneous) 652.2 brow presentation 652.4 cephalopelvic disproportion (normally formed fetus) 653.4 cerebral hemorrhage 674.0 cervical dystocia 661.2 chin presentation 652.4 cicatrix coagulation defect 649.3 [icd9data.com]

Case report and findings: A female, aged over 40 years, presented with uterine atony and lethal hemorrhage after induced vaginal labor. Cervical laceration was accompanied by severe hemorrhage. [ncbi.nlm.nih.gov]

Vaginal examination: The presenting part recedes upwards. Vaginal bleeding may be present. Contracted pelvis may be detected. A cervical tear may be found extending to the lower uterine segment and a broad ligament haematoma may be present. [gfmer.ch]

• Pain

  I did have vaginal dryness and pain with intercourse. In February 2009, the pain with intercourse got worse and then i could no longer feel the strings. [medications.com]

  Signs of infection from vaginal tears include fever or stitches that smell or become painful. [healthline.com]

  However, fear of pain or reported severe pain at the IUD placement remains an acceptance barrier *. [aspivix.com]

  In some cases, these tears may lead to pain during sexual intercourse. [whattoexpect.com]

  The severity of initial neck pain intensity is a predictor of long term pain severity.27,28 This may reflect the variable success of the wide range of therapies used to manage post-traumatic neck pain including physiotherapy, exercise, early mobilisation [racgp.org.au]

• Swelling

  Home treatment methods You can expect some discomfort, bleeding, and swelling following delivery and a vaginal tear. There are ways you can relieve this discomfort at home and encourage healing. [healthline.com]

  The gradual swelling of the Laminaria has been found far less traumatic than rapid dilation methods, causing it to be the preferred choice of doctors. Swelling is quick and reliable. [norscanmedical.com]

  Stromal edema and myometrial swelling were consistent with uterine atony. Alcian blue staining and zinc coproporphyrin immunostaining disclosed AFE, which was more prominent in the uterus than in the lungs. [ncbi.nlm.nih.gov]

  Steroid and anti-inflammatory drugs administered shortly after injury, such as methylprednisolone, can help reduce swelling, which is a common cause of secondary damage at the time of injury. [shepherd.org]

  There is a progressive enlarged, painful, tender, tense, bluish swelling at the vulva. Manifestations of hypovolaemia (e.g. hypotension and rapid pulse) and anaemia may be present. [gfmer.ch]

• Fever

  Signs of infection from vaginal tears include fever or stitches that smell or become painful. [healthline.com]

  The next day started abdominal pain, fever, and severe itching! She said to take benadryl. By Monday I was VERY ill and went to my family dr. [medications.com]

  659.5 embolism (pulmonary) 673.2 entanglement, umbilical cord 663.3 eversion, cervix or uterus 665.2 excessive face presentation 652.4 failure, fetal head to enter pelvic brim 652.5 female genital mutilation 660.8 fetal fetopelvic disproportion 653.4 fever [icd9data.com]

  Fever, ileus and unilateral leg oedema: may develop later. Management: Small not-increasing haematoma: is managed conservatively as vulval haematoma. Large increasing haematoma: Laparotomy. Incision in the anterior leaflet of the broad ligament. [gfmer.ch]

• Asymptomatic

  They are asymptomatic and need no treatment. Very rarely they may be problematic if they grow very large, in which case they may be treated with cautery or cryotherapy. [patient.info]

  Small, asymptomatic myomas are not treated. Most symptomatic cervical myomas are removed by myomectomy (particularly if childbearing capacity is important) or, if myomectomy is technically difficult, by hysterectomy. [merckmanuals.com]

  This report includes evidence for screening asymptomatic at-risk women and offers management guidelines. [aafp.org]

  “Asymptomatic“ cervical spine injuries: a myth? Am J Emerg Med 1985;3:263-264 2. Walter JJ, Doris PE, Shaffer MA. “Asymptomatic“ cervical spine injuries: a myth? Am J Emerg Med 1985;3:264-265 3. Plunkett PK, Redmond AD, Billsborough SH. [nejm.org]

  Prognosis and outcome You can inform your patient that 60-80% of women are asymptomatic 12 months after delivery. [clinicaladvisor.com]

• Inflammation

  The symptoms are, therefore, for the most part, those which are described under chronic metritis, sub-involution, retroflexion, granular inflammation of the os, etc. [homeoint.org]

  Synthetic sutures are most commonly used in high-resource settings for their predictable absorption, low inflammation, and easier handling than catgut. Proprietary, branded products like Vicryl have considerable market share. [mnhtech.org]

  Put me on 2 weeks of Levaquin and Flagyl and scheduled a biopsy to test for endometritis (chronic inflammation of the endometrium). She said she thought the Mirena IUD might have started all of this. Slowly got better. Biopsy was very painful. [medications.com]

  37 of pregnancy Twin or higher order pregnancy A fetal anomaly incompatible with life Prolapsed fetal membranes — a condition in which the amniotic sac protrudes through the opening of the cervix Risks Risks associated with cervical cerclage include: Inflammation [mayoclinic.org]

• Abdominal Pain

  Had sores in my mouth, abdominal pain, nausea, fatigue, hair loss, irregular vaginal bleeding. After 1 month switched to Ortho tricylcin Lo. Had continued abdominal pain and terrible headaches. [medications.com]

  Actual rupture: Symptoms: Sudden severe abdominal pain: It is differentiated from labour pain being continuous. If the patient was in labour there is cessation of uterine contractions. [gfmer.ch]

  Some specific side effects (abdominal pain, vaginal bleeding, diarrhoea and perception of raised temperature) were more common in the misoprostol group. [cochranelibrary.com]

  According to Geist's review, 3 these patients usually have marked vaginal bleeding (80%) and perineal and/or lower abdominal pain (10%–20%). Hemorrhagic shock may be present in up to 15% of the cases. [jaoa.org]

  Partial agenesis may occur; if there is a primitive uterus containing endometrium, haematometra occurs at puberty, producing cyclical abdominal pain. [patient.info]

• Flushing

  When the handles of the speculum are almost flush with the perineum, gently open it without exerting pressure on the sensitive tissues of the urethra and clitoris. Position it so that the cervix lies between the two arms of the speculum. [patient.info]

• Erythema

  Diagnosis is generally based on the presence of a purulent discharge along with erythema and induration. Treatment includes removing all sutures from the repair. The tear should be irrigated by copious amounts of fluid followed by debridement. [clinicaladvisor.com]

• Vaginal Bleeding

  […] lacerations to life-threatening vaginal bleeding. [jaoa.org]

  bleeding Most common causes Retained products of conception Introduction of normal or pathologic vaginal bacteria by instrumentation Symptoms Fever Abdominal or pelvic pain Vaginal discharge or bleeding Physical exam Suprapubic tenderness to palpation [emdocs.net]

  Your health care provider might not recommend a cervical cerclage if you have: Active vaginal bleeding Active preterm labor An intrauterine infection Preterm premature rupture of membranes — when the fluid-filled membrane that surrounds and cushions the [mayoclinic.org]

  Which of the following assessment findings should the nurse expect to observe continuous vaginal bleeding in the presence of a firm fundus A nurse has just given a rubella vaccine to a client who is two days postpartum. [quizlet.com]

  Had sores in my mouth, abdominal pain, nausea, fatigue, hair loss, irregular vaginal bleeding. After 1 month switched to Ortho tricylcin Lo. Had continued abdominal pain and terrible headaches. [medications.com]

• Dyspareunia

  Dyspareunia may occur. Infection may cause pain, bleeding, or discharge. Rarely, prolapse causes a feeling of pressure or a mass in the pelvis. Urinary outflow obstruction causes hesitancy, dribbling, or urinary retention; UTIs may develop. [merckmanuals.com]

  Complications Possible complications such as haematoma in the parametrium, residual recto-vaginal fistula, and dyspareunia can be prevented by proper surgical techniques. [helid.digicollection.org]

  Long-term outcomes can include sexual dysfunction (dyspareunia, vulvo-vaginal pain or vaginal stenosis), flatal or fecal incontinence, rectovaginal fistula. [clinicaladvisor.com]

  Dyspareunia due to tender vaginal scar. Prevention Proper management of second stage of labour. Episiotomy in the proper time. Treatment Any perineal tear should be repaired within 24 hours. [gfmer.ch]

  Symptoms relate to its size and exact location: dysuria, urgency, obstruction of the cervix and dyspareunia. Management is guided by the size of the lesion and the age of the patient (whether she wants to retain fertility). [patient.info]

• Vaginal Discharge

  Mild symptoms can begin between 14 and 20 weeks and include: Backache Pressure in the lower pelvic area Mild cramps, similar to period pain Vaginal discharge, which increases in amount or becomes watery Light vaginal bleeding. [bellybelly.com.au]

  Risk factors 16, 19 Provider inexperience Abnormal uterine cavity Previous surgery to the cervix Increasing gestational age Multiparity Symptoms Vaginal bleeding Pelvic pain or diffuse abdominal pain Vaginal discharge (rare) Physical examination Vaginal [emdocs.net]

  Further investigative procedures Colposcopy In certain situations, a speculum examination is not enough (most commonly if abnormal cells are picked up on a routine smear test but also in cases of bleeding after intercourse, persistent severe vaginal discharge [patient.info]

• Metrorrhagia

  […] previa mal lie 652.9 malposition malpresentation 652.9 marginal sinus (bleeding) (rupture) 641.2 maternal hypotension syndrome 669.2 meconium in liquor 656.8 membranes, retained - see Delivery, complicated, placenta, retained mentum presentation 652.4 metrorrhagia [icd9data.com]

• Human Papillomavirus

  Human Papillomavirus: The most common cause of dysplasia of the uterine cervix is human papillomavirus ( hpv ). There are several hundred types, but 6, 11, 16, 18, 32, and 33 are the most common. It is a pre-cursor to the development of cancer. [healthtap.com]

  Common culprits - Neisseria gonorrhoeae, Chlamydia trachomatis, human papillomavirus, herpes simplex virus and Trichomonas vaginalis. [ 14 ] Treatment - antimicrobial, guided by results from swabs. [ 15 ]. [patient.info]

At oestrus, the cervix is open and relaxed, allowing the expulsion of any contaminants accumulating after foaling, breeding or treatment. [vetstream.com]

Vaginal tears can be painful and unpleasant but most will heal with rest and a combination of home remedies or treatment by a healthcare provider. [healthline.com]

Treatment of CERVICAL laceration (RUPTURA COLLI UTERI) Deep cervical tear with the transition to the vaults and above are treated according to the type of rupture of the uterus. [lecheniebolezni.com]

Treatment protocol for the patient with marked vaginal bleeding. Figure. Treatment protocol for the patient with marked vaginal bleeding. [jaoa.org]

TREATMENT. — In case the laceration is discovered at the time of delivery, spontaneous union may possibly be brought about by proper treatment. [homeoint.org]

Prognosis : good for rebreeding in the case of simple tears and lacerations. [vetstream.com]

Cervical Spinal Cord Injury Recovery and Prognosis Spinal cord injury prognosis varies depending on the severity of the injury. [shepherd.org]

It is usually considered that recent cases are more amenable to treatment than those of very long standing, and in those where granulations are extensive or other important complications are present the prognosis should he guarded. [homeoint.org]

Rotate the fetus at part of the uterine mouth with placenta previa because of the extremely poor prognosis for the fetus is rarely used and usually when severe prematurity. [2medic.net]

While electrical injury is commonly associated with fatal cardiac standstill and ventricular fibrillation [9], it has also been associated with other transient cardiac changes with better prognosis. [medcraveonline.com]

Etiology and pathogenesis CERVICAL LACERATION (RUPTURA COLLI UTERI) Hyperextension - cervical laceration during childbirth, scarring of the cervix, ingrown villous placenta previa, especially in the cervical pregnancy, rapid delivery, operative delivery [lecheniebolezni.com]

Pathogenesis Etiology Difficult, protracted or assisted foaling, especially where fetotomy has been performed. Occasionally occurs where there is no history of a difficult foaling or only fetal oversize. [vetstream.com]

Emmett first attempted to remedy the condition by a plastic operation, and as late as 1869 he published his first paper calling the attention of the profession to the etiological importance of these lesions, and to his method of operating for their cure [homeoint.org]

Etiology and pathogenesis Cervical laceration divided into spontaneous and violent. Cervical integrity during childbirth is preserved under the normal amount of elastic fibers, which anastomoziruya with each other, as if stseplivayut muscle bundles. [2medic.net]

Lacerations extending into the peritoneal cavity occur in less than 1% of patients. 3 The most common mechanism of nonobstetric injury to the vagina is coitus. 4 Predisposing and etiologic factors that can account for such injuries include virginity, [jaoa.org]

An Atlas of Operative Laparoscopy and Hysteroscopy, Second Edition is not just a how-to-do-the-surgery book, but also a guide to the pathogenesis, pathophysiology, and epidemiology of the urogynecological area. [books.google.com]

REFERENCES Harlap and Davies, "Late Sequelae of Induced Abortion: Complications and Outcome of Pregnancy and Labor", American Journal of Epidemiology (1975), vol.102,no.3. [life.org.nz]

ObstetGynecol Clin North Am 40:59-67 Dean AG, Sullivan KM, Soe MM (2015)OpenEpi: Open Source Epidemiologic Statistics for Public Health, Version. [omicsonline.org]

To date, no definitive epidemiologic studies have proved that cervical insufficiency is more frequent in women exposed to diethylstilbestrol than in comparable control subjects. There are no randomized trials of cerclage in these patients. [aafp.org]

Epidemiology of preterm birth: results from a longitudinal study of births in Norway. [Google Scholar] 19. [ncbi.nlm.nih.gov]

An Atlas of Operative Laparoscopy and Hysteroscopy, Second Edition is not just a how-to-do-the-surgery book, but also a guide to the pathogenesis, pathophysiology, and epidemiology of the urogynecological area. [books.google.com]

Pathophysiology The cervix is made up of longitudinal muscle along its body and circular muscle at the internal and external os. The shape and function of the cervix is determined by hormonal control. [vetstream.com]

Several pathophysiological mechanisms of injury to the nervous system have been proposed, including thermal injury, electroporation, and vascular damage through direct injury as well as indirect injury [3,6]. [medcraveonline.com]

The pathophysiology of postoperative ileus is complex, and involves hormonal, neural, and local factors that are incompletely understood (Livingston and Passaro, 1990). [intranet.tdmu.edu.ua]

This event is recommended to prevent cancerous lesions of the cervix. In order to prevent infection - penicillin and sulfonamides. source [lecheniebolezni.com]

During diestrus, the cervix is tight and closed, preventing the loss of the early embryo and the ascent of external infections. [vetstream.com]

If there are serious indications for forceps for incomplete disclosure of the pharynx, the pre to prevent rupture of the neck with scissors cut through the edge of the throat on both sides, right and left. [2medic.net]

[…] vaginal tears Sometimes vaginal tears are unavoidable but there are precautions you can take to help prevent them during delivery. [healthline.com]

In rare cases, the stitch does not prevent miscarriage or preterm birth. [bellybelly.com.au]