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Dr. Hiroaki Tanaka

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Department of Obstetrics and Gynecology, Mie University Graduate School of Medicine, 2-174 Edobashi, Tsu, Mie 514-8507, Japan
Interests: obstetrics; fetal growth restriction; obstetrical hemorrhage; maternal mortality; pregnancy with complications

Special Issue Information

Dear Colleagues,

Assisted reproductive technology (ART) has advanced significantly in recent years, and the incidence of pregnancy by ART has increased. Currently in Japan, 1 in 18 women give birth because of ART. The number of babies born by ART is also predicted to increase in the future. Therefore, perinatal outcomes for pregnancy by ART need to be understood. Currently, pregnancies by ART are known to be associated with a high rate of premature birth, low-birth-weight infants, fetal malposition, an abnormal placenta and umbilical cord, a high rate of cesarean section, perinatal mortality, and a high amount of blood loss during delivery. However, perinatal outcomes for pregnancy by ART are not yet understood in their entirety. Therefore, the Special Issue “Reproductive Therapy and Perinatal Outcome” has been planned.

This Special Issue seeks research papers on various aspects of women’s reproductive health, such as assisted reproductive technology, gynecological diseases, and perinatal outcomes. We also welcome original research papers based on interdisciplinary work and multi-country collaborative research.

Dr. Hiroaki Tanaka
Guest Editor

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Keywords

Perinatal outcome
Reproductive therapy
Assisted reproductive technology
Pregnancy
Placental previa
Preterm birth
Endometriosis
Adenomyosis

Published Papers (1 paper)

Review

13 pages, 2461 KiB

Open AccessReview

First Trimester Uterine Rupture: A Case Report and Literature Review

by Fabiana Cecchini, Alice Tassi, Ambrogio P. Londero, Giovanni Baccarini, Lorenza Driul and Serena Xodo

Int. J. Environ. Res. Public Health 2020, 17(8), 2976; https://0-doi-org.brum.beds.ac.uk/10.3390/ijerph17082976 - 24 Apr 2020

Cited by 12 | Viewed by 6125

Abstract

The aim is to report a case of spontaneous uterine rupture in the first trimester of pregnancy and to review the literature on the topic. Methods: A literature search was performed using PubMed and Scopus. Relevant English articles were identified without any time or study limitations. The data were aggregated, and a summary statistic was calculated. Results: A 35-year-old gravida 5, para 2 was admitted at our department because of fainting and abdominal pain. The woman had a first-trimester twin pregnancy and a history of two previous cesarean sections (CSs). Suspecting a uterine rupture, an emergency laparotomy was performed. The two sacs were completely removed, and the uterine rupture site was closed with a double-layer suture. The patient was discharged from hospital four days later in good condition. On the basis of this experience, a total of 76 case reports were extracted from PubMed and included in the review. Fifty-three patients out of 76 (69.74%) underwent previous surgery on the uterus. Most women (67.92%) had a CS, and in this group a cesarean scar pregnancy (CSP) or a placenta accreta spectrum (PAS) disorder was found to be the etiology in 77.78% of cases. Furthermore, 35.85% of the women had hysterectomy after uterine rupture. Twenty-three patients out of 76 (30.26%) had an unscarred uterus. Of this group, most women presented a uterine anomaly (43.48%). Moreover, 17.39% of these women had a hysterectomy. Conclusion: According to the literature, the current pandemic use of CS explains most cases of first-trimester uterine rupture. Full article

(This article belongs to the Special Issue Reproductive Therapy and Perinatal Outcome)

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