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Cervical Laceration

Uterine Cervix Laceration


Presentation

  • 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]
  • Study design: Retrospective cohort study of nulliparous women who underwent vaginal delivery of a vertex presentation.[ohsu.pure.elsevier.com]
  • WASHINGTON — The use of forceps and vacuum did not increase the risk for cervical laceration among patients who had vaginal deliveries performed at a large community hospital, according to a poster presented at the annual meeting of the American College[mdedge.com]
  • The presented cases underline the importance for regular multidisciplinary training drills.[omicsonline.org]
Foul Smelling Discharge
  • Call your healthcare provider if you experience any of the following symptoms: foul-smelling discharge increased pain at the incision site fever significant swelling Vaginal tears can be painful and unpleasant but most will heal with rest and a combination[healthline.com]
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]
  • Clinical Picture Impending rupture Before actual rupture the following manifestations may be detected: Lower abdominal pain. Tender uterine scar. Vaginal spotting (minimal bleeding).[gfmer.ch]
  • 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]
  • 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]
Vaginal Bleeding
  • 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]
  • Treatment protocol for the patient with marked vaginal bleeding. Figure. Treatment protocol for the patient with marked vaginal bleeding.[jaoa.org]
  • 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]
  • 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]
  • 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]

Treatment

  • Infections are possible but unlikely with proper treatment. Signs of infection from vaginal tears include fever or stitches that smell or become painful.[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]
  • It pays special attention to emerging procedures and technologies, including the use of robotics and the treatment of carcinoma. Of particular importance is the section on complications, which shows you how to recognize and avoid potential pitfalls.[books.google.com]
  • Treatment Treatment of cervical tears should be in their stitching immediately after birth. If the gap is accompanied by heavy bleeding, squeeze out the last and start stitching. Stitching neck rupture shall be subject to strict aseptic technique.[2medic.net]
  • Treatment protocol for the patient with marked vaginal bleeding. Figure. Treatment protocol for the patient with marked vaginal bleeding.[jaoa.org]

Prognosis

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

Etiology

  • 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]
  • 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]
  • ETIOLOGY AND RISK FACTORS The development of puerperal hematomas is associated with several factors that can be divided into broad categories of maternal trauma or maternal factors that may predispose to hematoma formation ( Table 12-3 ).[obgynkey.com]

Epidemiology

  • 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]
  • 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]
  • 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]
  • 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]
Sex distribution
Age distribution

Pathophysiology

  • 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]

Prevention

  • This event is recommended to prevent cancerous lesions of the cervix. In order to prevent infection - penicillin and sulfonamides. source[lecheniebolezni.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]
  • […] urinating, or increased frequency of urination sanitary pads soaked with blood or you’re passing large blood clots severe pain in your lower abdomen, vagina, or perineum Sometimes vaginal tears are unavoidable but there are precautions you can take to help prevent[healthline.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]
  • In rare cases, the stitch does not prevent miscarriage or preterm birth.[bellybelly.com.au]

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