Vernixuria: another sign of uterine rupture

J Perinatol. 2003 Jun;23(4):351-2. doi: 10.1038/sj.jp.7210897.

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.

Publication types

  • Case Reports

MeSH terms

  • Adult
  • Female
  • Humans
  • Pregnancy
  • Urinalysis
  • Urine / chemistry*
  • Uterine Rupture / etiology*
  • Uterine Rupture / urine*
  • Vaginal Birth after Cesarean / adverse effects*
  • Vernix Caseosa*