The article presents a rare case of uterine rupture at the 19th week of gestation, in the presence of a scar after a caesarean section practiced two years earlier. The fetus was pulled out alive, but given the gestational age, died within a few minutes. The uterus was preserved, but the woman was advised to proceed with tubal ligation and, in any case, to absolutely avoid a new pregnancy. The literature on uterine rupture is examined focusing on the problem of uterine rupture resulting after a caesarean section, analyzing the possibility of monitoring the risk of rupture through ultrasound evaluation. Finally, the article conducts a moral analysis of the case in the light of catholic moral, questioning in particular the acceptability of a hysterectomy under certain conditions. The illegitimacy of direct sterilization is reaffirmed, that is to say, an intervention whose purpose is the impediment of procreation, but it is emphasized that direct sterilization cannot occur when it comes to the moral certainty that that uterus, because of its conditions , cannot carry on a pregnancy until the viability of the fetus. In fact, an intervention that affects a uterus that is objectively incapable of carrying out its natural function cannot be qualified as anti-procreative.

Di Pietro, M. L., Pietro Faggioni, M., A Case of Uterine Rupture during Pregnancy, <<CUADERNOS DE BIOÉTICA>>, 2019; 30 (98): 67-76. [doi:10.30444/CB.22] [http://hdl.handle.net/10807/148604]

A Case of Uterine Rupture during Pregnancy

Di Pietro, Maria Luisa
Primo
;
2019

Abstract

The article presents a rare case of uterine rupture at the 19th week of gestation, in the presence of a scar after a caesarean section practiced two years earlier. The fetus was pulled out alive, but given the gestational age, died within a few minutes. The uterus was preserved, but the woman was advised to proceed with tubal ligation and, in any case, to absolutely avoid a new pregnancy. The literature on uterine rupture is examined focusing on the problem of uterine rupture resulting after a caesarean section, analyzing the possibility of monitoring the risk of rupture through ultrasound evaluation. Finally, the article conducts a moral analysis of the case in the light of catholic moral, questioning in particular the acceptability of a hysterectomy under certain conditions. The illegitimacy of direct sterilization is reaffirmed, that is to say, an intervention whose purpose is the impediment of procreation, but it is emphasized that direct sterilization cannot occur when it comes to the moral certainty that that uterus, because of its conditions , cannot carry on a pregnancy until the viability of the fetus. In fact, an intervention that affects a uterus that is objectively incapable of carrying out its natural function cannot be qualified as anti-procreative.
Spagnolo
Di Pietro, M. L., Pietro Faggioni, M., A Case of Uterine Rupture during Pregnancy, <<CUADERNOS DE BIOÉTICA>>, 2019; 30 (98): 67-76. [doi:10.30444/CB.22] [http://hdl.handle.net/10807/148604]
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