Quantcast
Follow us On YouTube Follow us On FaceBook



or
Search Language
Browse
Medical Animations
Medical Animation Titles
Custom Legal Animations
Anatomical Models
Patient Health Articles
Custom Interactive
Most Recent Uploads
Body Systems/Regions
Anatomy & Physiology
Diseases & Conditions
Diagnostics & Surgery
Cells & Tissues
Cardiovascular System
Digestive System
Integumentary System
Nervous System
Reproductive System
Respiratory System
Back and Spine
Foot and Ankle
Head and Neck
Hip
Knee
Shoulder
Thorax
Medical Specialties
Cancer
Cardiology
Dentistry
Editorial
Neurology/Neurosurgery
Ob/Gyn
Orthopedics
Pediatrics
Account
Administrator Login
Attempted Vaginal Birth After Cesarean Section (VBAC) with Subsequent Uterine Rupture - Medical Illustration, Human Anatomy Drawing
 
This image may only be used in support of a single legal proceeding and for no other purpose. Read our License Agreement for details. To license this image for other purposes, click here.
Attempted Vaginal Birth After Cesarean Section (VBAC) with Subsequent Uterine Rupture
More Like ThisAdd To Lightbox exh39354 Enlarge Share
Ready to Purchase?

Large PDF - $359.00 (As-Is)

Order by phone: (800) 338-5954
Item #exh39354Source #1

Attempted Vaginal Birth After Cesarean Section (VBAC) with Subsequent Uterine Rupture - Medical Illustration, Human Anatomy Drawing
Ruptured Uterus. This medical exhibit depicts an attempted vaginal birth after cesarean (VBAC) with subsequent uterine rupture. The first image pictures the pre-operative maternal pelvis with full term fetus (baby) showing the scarring of the uterus from a previous cesarean section (c-section). The second image illustrates the infant's head protruding through the torn uterus as well as the massive hemorrhage from the placental abruption.
Risk of Uterine Rupture During Labor Higher for Women with a Prior Cesarean Delivery

Women with a prior cesarean section, who undergo labor for their second child, are at increased risk of a rupture of the uterus, compared with women who elect another cesarean section birth. This finding by a University of Washington team of researchers appears in the July 5 issue of The New England Journal of Medicine.

The study involved analyzing the records of 20,095 women who had their first child delivered by cesarean section and who delivered a second child either by cesarean or following labor. These records were from 1987 through 1996 and came from civilian hospitals in Washington State. The research was funded by the National Institute of Nursing Research, National Institutes of Health, and by the Agency for Healthcare Research and Quality.

The rate of uterine rupture for repeat cesarean deliveries without labor for women having a previous C-section was 1.6 per 1,000 women. Uterine rupture was highest where prostaglandin, a naturally-occurring substance in the body administered to induce labor, was used for the second birth — 24.5 per 1,000 women. For women whose labor was induced without prostaglandin, the rate was 7.7 per 1,000 women. And for those with spontaneous onset of labor, the rate was 5.2 per 1,000 women. As these data indicate, uterine rupture is not that common, but it may have serious consequences that include hysterectomy, urologic injury, or need for a blood transfusion for the mother, and neurologic impairment in the infant.

"Undergoing cesarean delivery comes with its own risks," said Dr. Mona Lydon-Rochelle, principal investigator of the study. "Now we have indications that second births following labor by women with an earlier C-section also include higher risks of uterine rupture. What this research shows is that having that first C-section adds to the complexity of assessing the risk/benefit ratio of procedures to use for the births to follow. Another factor brought to light by the study," she added, "is the use of prostaglandins to induce labor, which produces the greatest risk of uterine rupture when there have been prior C-sections."

Dr. Patricia A. Grady, Director of the NINR, added that "further research is needed to increase knowledge about how to reduce the risk of various birth procedures. Since many women with prior C-sections have been electing to try labor for their second pregnancy, it is important that before this decision is reached, they assess the relative risks and discuss them with their healthcare providers."

"These data also raise the question of the risk of induction of labor for women with a prior C-section," stated Dr. Nancy Woods, Dean of the University of Washington's School of Nursing and former head of their Center for Women's Health Research, where the study originated.

The research team included Dr. Mona Lydon-Rochelle, principal investigator and senior research fellow in the Department of Family and Child Nursing in the School of Nursing, Dr. Victoria L. Holt, associate professor in the Department of Epidemiology in the School of Public Health and Community Medicine; Dr. Thomas R. Easterling, assistant professor of obstetrics and gynecology of the School of Medicine; and Dr. Diane P. Martin, Professor in the Department of Health Services in the School of Public Health and Community Medicine, all at the University of Washington.

Source: National Institutes of Health, July 4, 2001.

YOU MAY ALSO WANT TO REVIEW THESE ITEMS:
Placental Abruption
Placental Abruption - si55550961
Medical Illustration
Add to my lightbox
Find More Like This
Uterine Rupture During Labor
Uterine Rupture During Labor - exh38867a
Medical Exhibit
Add to my lightbox
Find More Like This
Uterine Rupture During Labor
Uterine Rupture During Labor - exh38867b
Medical Exhibit
Add to my lightbox
Find More Like This
Uterine Rupture During Labor
Uterine Rupture During Labor - exh38867c
Medical Exhibit
Add to my lightbox
Find More Like This
Uterine Rupture
Uterine Rupture - exh40224c
Medical Exhibit
Add to my lightbox
Find More Like This
Uterine Rupture at Previous Cesarean Site
Uterine Rupture at Previous Cesarean Site - exh39908b
Medical Exhibit
Add to my lightbox
Find More Like This
This exhibit is available in these languages:
What attorneys say about MLA and The Doe Report:
"The illustrations have consistently been well documented, accurate and timely. Most important though is that the illustrations demonstrate to juries and claims people the persuasive power of visual communication. Our firm has achieved multiple eight figure settlements and verdicts over the past ten years... Medical Legal Art has been there with us on every case."

Thomas C. Jones
Davis, Bethune & Jones, L.L.C.
Kansas City, MO
www.dbjlaw.net

"Medical Legal Art wins our firm's highest accolades for professionalism and exhibit quality. In fact, many of the doctors I work with request color copies of your outstanding artwork to show to patients during the informed consent process."

Jeanne Dolan, BSRN, AlNC
Legal Nurse Consultant
Golden Valley, MN

"You and your company are wonderful. Your service, turnaround time, quality and price were better than I could have asked for. Please add me to your long list of satisfied customers."

Robert F. Linton, Jr.
Linton & Hirshman
Cleveland, OH

"Thanks, and your illustrations were effective in a $3 million dollar verdict last Friday."

Joseph M. Prodor
Trial Lawyer
White Rock, British Columbia












Awards | Resources | Articles | Become an Affiliate | Free Medical Images | Pregnancy Videos
Credits | Jobs | Help | Medical Legal Blog | Find a Lawyer | Hospital Marketing