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  • Perinatal/Neonatal Case Presentation
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Perinatal/Neonatal Case Presentation

Vernixuria: Another Sign of Uterine Rupture

Journal of Perinatology volume 23, pages 351–352 (2003)Cite this article

Abstract

Uterine rupture complicates approximately 1% of trials of labor after cesarean. Classic signs and symptoms include loss of station, cessation of labor, vaginal bleeding, fetal distress, and abdominal pain. Other signs are also possible. We report a case of uterine rupture at VBAC trial that includes an unusual clinical sign of uterine rupture: vernix caseosa observed in the urine of the parturient. During labor, a bladder catheter was inserted to evaluate oliguria. Vernix caseosa and blood were found in the tubing. Prompt cesarean delivery followed. A tear extending from the original transverse scar into the bladder dome was found. Vernixuria is an additional sign of uterine rupture.

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Authors and Affiliations

  1. Department Of Obstetrics & Gynecology, Baystate Medical Center, Springfield, MA, USA

    John Patrick O'Grady MD, Michel Prefontaine MD & Despina E Hoffman BA

Authors
  1. John Patrick O'Grady MD
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  2. Michel Prefontaine MD
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  3. Despina E Hoffman BA
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Additional information

During a VBAC trial, vernix caseosa and blood were observed in Foley catheter drainage. At laparotomy, a uterine rupture extended into the bladder.

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O'Grady, J., Prefontaine, M. & Hoffman, D. Vernixuria: Another Sign of Uterine Rupture. J Perinatol 23, 351–352 (2003). https://doi.org/10.1038/sj.jp.7210897

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