Occult Cervical Avulsion: A Rare Cause of Intrapartum Vaginal Bleeding

BACKGROUND: Cervical avulsion, complete or partial, is a rare intrapartum complication that can go unrecognized without proper physician vigilance. CASES: Case 1 is a 32-year-old multiparous woman admitted for induction of labor at 37 2/7 weeks for abnormal antenatal testing. Case 2 is a 22-year-old...

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Detalles Bibliográficos
Autores principales: Hulin, Charity, Lang, Brennan, Stanley, Jennifer, Davidson, Christina
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Hindawi 2019
Materias:
Case Report
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6515025/
https://www.ncbi.nlm.nih.gov/pubmed/31183229
http://dx.doi.org/10.1155/2019/7356150
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author Hulin, Charity
Lang, Brennan
Stanley, Jennifer
Davidson, Christina
author_facet Hulin, Charity
Lang, Brennan
Stanley, Jennifer
Davidson, Christina
author_sort Hulin, Charity
collection PubMed
description BACKGROUND: Cervical avulsion, complete or partial, is a rare intrapartum complication that can go unrecognized without proper physician vigilance. CASES: Case 1 is a 32-year-old multiparous woman admitted for induction of labor at 37 2/7 weeks for abnormal antenatal testing. Case 2 is a 22-year-old multiparous woman at 29 0/7 with spontaneous preterm labor 10 days after cerclage removal for preterm contractions. Vaginal bleeding and fetal heart rate decelerations complicated each patient's intrapartum course. Annular cervical detachment noted at time of delivery resulted in partial or complete amputation of the cervix. Both women recovered well postpartum. CONCLUSION: This rare phenomenon should be considered in the differential of intrapartum vaginal bleeding to avoid a missed or delayed diagnosis.
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spelling pubmed-65150252019-06-10 Occult Cervical Avulsion: A Rare Cause of Intrapartum Vaginal Bleeding Hulin, Charity Lang, Brennan Stanley, Jennifer Davidson, Christina Case Rep Obstet Gynecol Case Report BACKGROUND: Cervical avulsion, complete or partial, is a rare intrapartum complication that can go unrecognized without proper physician vigilance. CASES: Case 1 is a 32-year-old multiparous woman admitted for induction of labor at 37 2/7 weeks for abnormal antenatal testing. Case 2 is a 22-year-old multiparous woman at 29 0/7 with spontaneous preterm labor 10 days after cerclage removal for preterm contractions. Vaginal bleeding and fetal heart rate decelerations complicated each patient's intrapartum course. Annular cervical detachment noted at time of delivery resulted in partial or complete amputation of the cervix. Both women recovered well postpartum. CONCLUSION: This rare phenomenon should be considered in the differential of intrapartum vaginal bleeding to avoid a missed or delayed diagnosis. Hindawi 2019-04-30 /pmc/articles/PMC6515025/ /pubmed/31183229 http://dx.doi.org/10.1155/2019/7356150 Text en Copyright © 2019 Charity Hulin et al. https://creativecommons.org/licenses/by/4.0/ This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
spellingShingle Case Report
Hulin, Charity
Lang, Brennan
Stanley, Jennifer
Davidson, Christina
Occult Cervical Avulsion: A Rare Cause of Intrapartum Vaginal Bleeding
title Occult Cervical Avulsion: A Rare Cause of Intrapartum Vaginal Bleeding
title_full Occult Cervical Avulsion: A Rare Cause of Intrapartum Vaginal Bleeding
title_fullStr Occult Cervical Avulsion: A Rare Cause of Intrapartum Vaginal Bleeding
title_full_unstemmed Occult Cervical Avulsion: A Rare Cause of Intrapartum Vaginal Bleeding
title_short Occult Cervical Avulsion: A Rare Cause of Intrapartum Vaginal Bleeding
title_sort occult cervical avulsion: a rare cause of intrapartum vaginal bleeding
topic Case Report
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6515025/
https://www.ncbi.nlm.nih.gov/pubmed/31183229
http://dx.doi.org/10.1155/2019/7356150
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AT davidsonchristina occultcervicalavulsionararecauseofintrapartumvaginalbleeding

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