Uterine scar rupture in labour induced with vaginal prostaglandin E2.
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Biomedical subjects
Publications and source records attributed to D R Bromham.
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A patient is described in whom a placenta increta led to a haemoperitoneum. The diagnosis, made by abdominal paracentesis, led to laparatomy and Caesarean hysterectomy at 31 weeks; the child survived. Delay in diagnosis of the haemoperitoneum was mainly due to difficulties in clinical assessment caused by an episode of premature labour and maternal psychiatric illness.
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It would seem impossible to determine an ethical framework for the practice of surrogate motherhood that does not impinge on the liberties of some or offend others. Many attempts to establish guidelines or laws result in paradox. A wide variety of interacting factors influence public opinion and intuitive assumptions may be wildly inaccurate.