EC Gynaecology

Research Article Volume 12 Issue 1 - 2023

Maternal, Perinatal and Postpartum Outcomes Associated with Couvelaire Uterus

Vitaly Tskhаy1,2*, Elvira Grebennicova2, Аlina Zhurkina2, Eraterina Levanova3 and Yulia Glizina3

1Department of Perinatology, Obstetrics and Gynecology, Medical Faculty, Professor V. F. Voino-Yasenetsky Krasnoyarsk State Medical University, Krasnoyarsk, Russia

2Federal Siberian Scientific and Clinical Center- FMBA of Russia, Krasnoyarsk, Russia

3Krasnoyarsk Regional Clinical Center of Maternity and Childhood, Krasnoyarsk, Russia

*Corresponding Author: Vitaly Tskhаy, Department of Perinatology, Obstetrics and Gynecology, Medical Faculty, Professor V. F. Voino-Yasenetsky Krasnoyarsk State Medical University, Krasnoyarsk, Russia.
Received: November 23, 2022; Published: December 14, 2022



Placental abruption occurs when the placenta partially or completely separates from the wall of the uterus and complicates ∼1% of pregnancies. It is associated with typical clinical features and a variety of risk factors. Couvelaire uterus is a rare condition diagnosed by a direct visualization of the uterus, with the effects of ecchymosed discoloration, secondary to extravasations of blood into the myometrium and serosa. Until recently, the typical practice in obstetrics with this pathology was the removal of the uterus. With regard to our experience, we have shown that in most clinical cases such type of uterus can be preserved when the blood loss is fully replenished, an effective correction of the hemostasis disorders is carried out and uterine contractility favors.

Keywords: Placental Abruption; COUVELAIRE Uterus; Obstetric Complications; Hysterectomy; Rare Condition; Perinatal Outcomes

  1. Couvelaire A. “Deux nouvelles observations d’apoplexieutéro-placentaire (hemorrhagiesrétro-placentaires avec infiltration sanguine de la pavoimusculaire de l’utérus)”. Ann Gynecol Obstet 9 (1912): 486.
  2. Jackson J., et al. “Multimodal postpartum imaging of a severe case of Couvelaire uterus”. Case Reports in Perinatal Medicine 1 (2022): 20210013.
  3. Habek D., et al. “Uteroplacental apoplexy (Couvelaire syndrome)”. Wiener Klinische Wochenschrift 3-4 (2008): 88.
  4. Brăila AD., et al. “Placental abruption: etiopathogenic aspects, diagnostic and therapeutic implications”. Romanian Journal of Morphology and Embryology 1 (2018): 187-195.
  5. Oyelese Y and Ananth CV. “Placental abruption”. Obstetrics and Gynecology 4 (2006): 1005-1016.
  6. Li Y., et al. “Analysis of 62 placental abruption cases: Risk factors and clinical outcomes”. Taiwanese Journal of Obstetrics and Gynecology 2 (2019): 223-226.
  7. Mei Y and Lin Y. “Clinical significance of primary symptoms in women with placental abruption”. Journal of Maternal-Fetal and Neonatal Medicine 18 (2018): 2446-2449.
  8. Leeman L., et al. “Advanced life support in obstetrics (ALSO) Provider Manual [Internet]”. S3.amazonaws.com. (2017).
  9. Lee YJ., et al. “Couvelaire uterus resulting in haemoperitoneum”. Journal of Surgical Case Reports 1 (2022): rjab618.
  10. Nath C., et al. “Placental abruption is associated with histologic evidence of inflammation: the New Jersey-placental abruption study”. American Journal of Obstetrics and Gynecology 6 (2006): S88.
  11. Ananth CV., et al. “Severe placental abruption: clinical definition and associations with maternal complications”. American Journal of Obstetrics and Gynecology 2 (2016): 272.e1-272.e9.
  12. Tskhay VB and Levanova EA. “Possibility of using organ-preserving tactics in patients with Couvelaire uterus”. Obstetrics and Gynecology 8 (2021): 200-205.

Vitaly Tskhаy., et al. Maternal, Perinatal and Postpartum Outcomes Associated with Couvelaire Uterus. EC Gynaecology 12.1 (2023): 42-47.