<?xml version="1.0" encoding="ISO-8859-1"?><article xmlns:mml="http://www.w3.org/1998/Math/MathML" xmlns:xlink="http://www.w3.org/1999/xlink" xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance">
<front>
<journal-meta>
<journal-id>0300-9041</journal-id>
<journal-title><![CDATA[Ginecología y obstetricia de México]]></journal-title>
<abbrev-journal-title><![CDATA[Ginecol. obstet. Méx.]]></abbrev-journal-title>
<issn>0300-9041</issn>
<publisher>
<publisher-name><![CDATA[Federación Mexicana de Colegios de Obstetricia y Ginecología A.C.]]></publisher-name>
</publisher>
</journal-meta>
<article-meta>
<article-id>S0300-90412019000300009</article-id>
<article-id pub-id-type="doi">10.24245/gom.v87i3.2652</article-id>
<title-group>
<article-title xml:lang="es"><![CDATA[Parto a través de rotura uterina posterior en una paciente con pesario de Arabin]]></article-title>
<article-title xml:lang="en"><![CDATA[Vaginal birth through posterior uterine breaking in Arabin pessary carrier patient]]></article-title>
</title-group>
<contrib-group>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Serrano-Diana]]></surname>
<given-names><![CDATA[Carolina]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Amezcua-Recover]]></surname>
<given-names><![CDATA[Antonio Nicolás]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
<xref ref-type="aff" rid="Aaf"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Gil-Martínez Acacio]]></surname>
<given-names><![CDATA[Leyre]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Roque-Fernández]]></surname>
<given-names><![CDATA[María Ángeles]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[González-Mirasol]]></surname>
<given-names><![CDATA[Esteban]]></given-names>
</name>
</contrib>
</contrib-group>
<aff id="Af1">
<institution><![CDATA[,Hospital Universitario de Albacete Departamento de Obstetricia y Ginecología ]]></institution>
<addr-line><![CDATA[ ]]></addr-line>
<country>España</country>
</aff>
<aff id="Af2">
<institution><![CDATA[,Universidad de Castilla-La Mancha Facultad de Medicina de Albacete Departamento de Ciencias Médicas]]></institution>
<addr-line><![CDATA[ ]]></addr-line>
<country>España</country>
</aff>
<pub-date pub-type="pub">
<day>00</day>
<month>00</month>
<year>2019</year>
</pub-date>
<pub-date pub-type="epub">
<day>00</day>
<month>00</month>
<year>2019</year>
</pub-date>
<volume>87</volume>
<numero>3</numero>
<fpage>208</fpage>
<lpage>212</lpage>
<copyright-statement/>
<copyright-year/>
<self-uri xlink:href="http://www.scielo.org.mx/scielo.php?script=sci_arttext&amp;pid=S0300-90412019000300009&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://www.scielo.org.mx/scielo.php?script=sci_abstract&amp;pid=S0300-90412019000300009&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://www.scielo.org.mx/scielo.php?script=sci_pdf&amp;pid=S0300-90412019000300009&amp;lng=en&amp;nrm=iso"></self-uri><abstract abstract-type="short" xml:lang="es"><p><![CDATA[Resumen  ANTECEDENTES: El parto pretérmino es una causa importante de morbilidad y mortalidad materno-fetal. El pesario cervical es un método eficaz para prevenir el parto pretérmino en pacientes con cuello uterino corto.  CASO CLÍNICO:  Paciente de 38 años, de 34.3 semanas de embarazo, que acudió a consulta por hidrorrea y dolor abdominal. Entre sus antecedentes ginecoobstétricos refirió la colocación de un pesario de Arabin a partir de la semana 20 del embarazo, por diagnóstico de cuello uterino corto (14 mm). La exploración médica reveló: cuello uterino cerrado y formado, con desgarro de 2 cm en la cara posterior uterina, indicándose cesárea de urgencia. Cinco minutos después tuvo aumento importante de dolor abdominal, objetivándose la cabeza fetal en IV plano de Hodge, por lo que se decidió la asistencia mediante parto en el área quirúrgica. Nació un varón de 2045 g, con Apgar 9/10, que ingresó al área de neonatología. Posteriormente se comprobó el desgarro ístmico-cervical, de aproximadamente 7 cm, con prolongación ascendente medial de 4 cm, que se suturó sin contratiempos. El puerperio inmediato y tardío transcurrieron con normalidad. Un año después del parto la paciente se encuentra en excelente estado de salud.  CONCLUSIÓN: La rotura uterina en pacientes con pesario es una complicación extremadamente rara. Hasta la fecha no existe un esquema de tratamiento óptimo. Se prefiere una conducta conservadora, sobre todo si existe deseo reproductivo, e individualizar cada caso.]]></p></abstract>
<abstract abstract-type="short" xml:lang="en"><p><![CDATA[Abstract  BACKGROUND: Preterm delivery is an important cause of maternal-fetal morbimortality. The cervical pessary is an effective method to prevent preterm birth in patients with short cervix.  CLINICAL CASE:  A 38-year-old patient, 34.3 weeks pregnant, attended the clinic due to hidrhorea and abdominal pain. Among his gynecological and obstetric history he referred to the placement of Arabin pessary from week 20 of pregnancy, by diagnosis of short cervix (14 mm). The medical examination revealed: Cervix closed and formed, with a 2 cm tear in the posterior uterine side, indicating an emergency caesarean section. Five minutes later, there was a significant increase in abdominal pain, with the fetal head being seen in the IV plane of Hodge. Therefore, it was decided to assist with delivery in the surgical area. A newborn male, 2045 g, was obtained with Apgar 9 / 10, who entered the neonatology area. Subsequently, the isthmic-cervical tear, of approximately 7 cm, with a medial ascending extension of 4 cm, which was sutured without incident, was confirmed. The immediate and delayed puerperium proceeded normally. One year after the obstetric event, the patient is in excellent health.  CONCLUSIONS:  Uterine rupture associated to pessary is an extremely rare complication. To date there is no optimal treatment scheme. A conservative behavior is preferred, especially if there is a reproductive desire, and each case is individualized.]]></p></abstract>
<kwd-group>
<kwd lng="es"><![CDATA[Pesario de Arabin]]></kwd>
<kwd lng="es"><![CDATA[rotura uterina]]></kwd>
<kwd lng="es"><![CDATA[parto]]></kwd>
<kwd lng="es"><![CDATA[parto prematuro]]></kwd>
<kwd lng="en"><![CDATA[Arabin pessary]]></kwd>
<kwd lng="en"><![CDATA[Uterine rupture]]></kwd>
<kwd lng="en"><![CDATA[Delivery]]></kwd>
<kwd lng="en"><![CDATA[Preterm birth]]></kwd>
</kwd-group>
</article-meta>
</front><back>
<ref-list>
<ref id="B1">
<label>1</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Donoso-Bernales]]></surname>
<given-names><![CDATA[B]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Parto prematuro]]></article-title>
<source><![CDATA[Medwave]]></source>
<year>2012</year>
<volume>12</volume>
<numero>8</numero>
<issue>8</issue>
</nlm-citation>
</ref>
<ref id="B2">
<label>2</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Martínez-Garza]]></surname>
<given-names><![CDATA[PA]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Rotura uterina espontánea: reporte de dos casos]]></article-title>
<source><![CDATA[Cir Cir]]></source>
<year>2012</year>
<volume>80</volume>
<page-range>81-5</page-range></nlm-citation>
</ref>
<ref id="B3">
<label>3</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Goya]]></surname>
<given-names><![CDATA[M]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Cervical pessary in pregnant women with a short cervix (PECEP): an open-label randomised controlled trial]]></article-title>
<source><![CDATA[Lancet]]></source>
<year>2012</year>
<volume>12</volume>
<numero>379</numero>
<issue>379</issue>
</nlm-citation>
</ref>
<ref id="B4">
<label>4</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Abdel-Aleem]]></surname>
<given-names><![CDATA[H]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Pesario cervical para la prevención del parto prematuro]]></article-title>
<source><![CDATA[COCHRA- NE]]></source>
<year>2013</year>
</nlm-citation>
</ref>
<ref id="B5">
<label>5</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[González-Díaz]]></surname>
<given-names><![CDATA[I]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Desgarro cervical en paciente con pesario]]></article-title>
<source><![CDATA[Ginecol Obstet Mex]]></source>
<year>2016</year>
<volume>84</volume>
<numero>6</numero>
<issue>6</issue>
<page-range>396-402</page-range></nlm-citation>
</ref>
<ref id="B6">
<label>6</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Weibel]]></surname>
<given-names><![CDATA[HS]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Perspectives of obstetricians on labour and delivery after abdominal or laparoscopic myomectomy]]></article-title>
<source><![CDATA[J Obstet Gynaecol Can]]></source>
<year>2014</year>
<volume>36</volume>
<numero>2</numero>
<issue>2</issue>
<page-range>128-32</page-range></nlm-citation>
</ref>
<ref id="B7">
<label>7</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Hlibczuk]]></surname>
<given-names><![CDATA[V]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Spontaneous uterine rupture as an unusual cause of abdominal pain in the early second trimester of pregnancy]]></article-title>
<source><![CDATA[J Emerg Med]]></source>
<year>2004</year>
<volume>27</volume>
<page-range>143-5</page-range></nlm-citation>
</ref>
<ref id="B8">
<label>8</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Kabra]]></surname>
<given-names><![CDATA[SL]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Case Series Spontaneus Rupture of uterus in early pregnancy]]></article-title>
<source><![CDATA[J Obstet Gynecol India]]></source>
<year>2016</year>
<volume>66</volume>
<numero>^sS2</numero>
<issue>^sS2</issue>
<supplement>S2</supplement>
</nlm-citation>
</ref>
<ref id="B9">
<label>9</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Kalinka]]></surname>
<given-names><![CDATA[J]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Rupture of the cervix during pregnancy after cervical pessary insertion for preventing preterm birth]]></article-title>
<source><![CDATA[J Obstet Gynaecol Res]]></source>
<year>2016</year>
<volume>42</volume>
<numero>12</numero>
<issue>12</issue>
<page-range>1854-7</page-range></nlm-citation>
</ref>
</ref-list>
</back>
</article>
