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Volume 8 Gynecology & Obstetrics
ISSN: 2161-0932 Gynecology 2018
October 08-10, 2018
October 08-10, 2018 | Zurich, Switzerland
5th International Conference on
Gynecology and Obstetrics
A classic case of couvelaire uterus: Case report
Parul Nigam1, 2
1Nigam Hospital, Jhansi, India
2St. Judes Hospital, Jhansi, India
C ouvelaire uterus also known as uteroplacental apoplexy is a very rare and life threatening condition in which premature
separation of placenta causes bleeding that penetrates into the myometrium forcing its way into the peritoneal cavity. Its
exact incidence is not known but is estimated to complicate about 5% of all cases of abruption. This paper reports a classic
case of couvelaire uterus which we encountered some time back in our hospital. The patient was 24 yr. old primi at 35 weeks
of pregnancy presenting at the middle of night with vaginal bleeding and loss of foetal movements. Her general condition
was very low. She was severely anemic and hypertensive. Foetal heart sounds could not be traced. Patient was managed by an
emergency caesarian section. The patient and her uterus could be saved but the baby was found dead and macerated. Placenta
was already separated and retroplacental haemorrhage of about 1.5 liters was noted. This paper emphasizes the importance
of antenatal screening and strict blood pressure monitoring in pregnancy. Nowadays new markers are available for early
prediction of PIH and preeclampsia.
Biography
Parul Nigam is a Gynecologist. She has completed her Postgraduation in Obstetrics and Gynecology at King George Medical University, Lucknow, India. She
has over 10 years of experience in this field. She has completed formal subspecialty training in Gynecological Endoscopy; Diploma in Gynecologic Ultrasound at
reputed institute in Delhi. And one year certificate course in Diabetes. She is an Avid Reader and has done certificate course in genetics and genetics counseling.
She is currently doing research work in the field of Infertility and Fetal Medicine. Her specialization is in the field of complete women health care solution. She
is presently working as a Consultant in all the above disciplines in Nigam Hospital and St. Jude’s Hospital, Jhansi. She makes utmost effort to maintain global
standards and provide the best possible treatment to her patients. She is a Member of IMA, FOGSI, SELSI and IAMG and has attended many national and
international conferences.
Parul Nigam, Gynecol Obstet 2018, Volume 8
DOI: 10.4172/2161-0932-C4-033