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  • Title: Vernixuria: another sign of uterine rupture.
    Author: O'Grady JP, Prefontaine M, Hoffman DE.
    Journal: J Perinatol; 2003 Jun; 23(4):351-2. PubMed ID: 12774148.
    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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