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Obstetrics & Gynecology:
doi: 10.1097/AOG.0b013e3181b9d540
Case Reports

Spontaneous Uterine Rupture in Pregnancy After Endometrial Ablation

Bowling, Meaghan R. MD; Ramsey, Patrick S. MD, MSPH

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BACKGROUND: Uterine rupture after endometrial ablation is rare and has not been reported previously in the English literature.

CASE: A 33-year-old multigravida at 26 5/7 weeks of gestation had undergone two endometrial ablation procedures. The first attempt 2 years before pregnancy was complicated by uterine perforation. She presented with severe abdominal pain. A cesarean delivery was performed for recurrent late fetal heart rate deceleration, and a complete spontaneous uterine rupture was discovered.

CONCLUSION: Pregnancies that occur after endometrial ablation have a risk of morbidity. Physicians must counsel women on the importance of contraception or sterilization as a critical component of the procedure.

© 2010 The American College of Obstetricians and Gynecologists


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