METHODS: A 38-year-old G4P2+1 had IOL because of oligohydramnios at term in a district hospital. The procedure was inadequately monitored and fetal demise occurred. The duration of second stage was prolonged and sequential use of vacuum and forceps deliveries were unsuccessfully performed.
RESULTS: At the ensuing caesarean delivery, uterine rupture/tear was diagnosed, and the patient died due to haemorrhage during an emergency hysterectomy.
CONCLUSIONS: This report highlights important clinical lessons on IOL in a high-risk pregnancy. The timelines for monitoring during IOL, particularly when there is fetal demise in labour, are proposed.
■一名38岁的G4P2+1在地区医院足月因羊水过少而出现IOL。该程序未得到充分监测,发生了胎儿死亡。第二阶段的持续时间延长,连续使用真空和镊子分娩失败。
■在随后的剖腹产中,诊断为子宫破裂/撕裂,患者在紧急子宫切除术中因出血死亡。
■本报告重点介绍了高危妊娠IOL的重要临床经验。IOL期间监测的时间表,特别是当分娩时胎儿死亡,是提议的。