Woman gets pregnant with knife
An evil coward killed an unborn baby but a hero stopped him murdering the child's mum. One of Liverpool's most shocking crimes was laid bare when an attempted murderer's victim relived the worst moment of her life. Paul McCarten repeatedly stabbed his pregnant wife Laura, 27, while she worked on a supermarket checkout at an Asda store. Shoppers watched on in horror as the then year-old knifed her three times - killing their unborn baby - in a truly despicable ambush. By a "miracle" - and thanks to the intervention of a heroic customer - Laura somehow survived the harrowing ordeal in JanuarySEE VIDEO BY TOPIC: Pregnant woman attacked with butcher knife in El Cajon home
- Wait a minute ... A woman got pregnant via a STAB WOUND?
- Fetal radiation doses for model C gamma knife radiosurgery.
- Girl With No Vagina Becomes Pregnant After Three-Way Knife Fight
- Windom man charged with kicking pregnant woman, threatening her with knife
- Man charged with kicking pregnant woman, threatening her with knife
- Oral Sex, a Knife Fight and Then Sperm Still Impregnated Girl
- Pregnant woman stabbed to death and baby left critically injured after being delivered at the scene
Wait a minute ... A woman got pregnant via a STAB WOUND?
Introduction: trauma is common in pregnancy; it affects one in twelve pregnancies. Abdomen represents the third anatomical region of the body most affected after the limbs and head. As pregnancy evolves, uterus increases in size and goes beyond the pelvic cavity; exposing the uterus to trauma and penetrating injuries in particular.
Penetrating abdominal trauma in pregnancy requires a rigorous clinical evaluation to establish a complete assessment of obstetric and non-obstetric lesions. It is an obstetrical emergency whose management depends on the abnormalities found. In case of major trauma, it is essentially carried out in a trauma center, with a multidisciplinary team to improve the maternal and fetal prognosis. Case presentation: the authors report the case of a year-old black woman, semi-Bantu, at 30 weeks gestation.
She was referred to the emergency department of Douala Laquintinie Hospital for a penetrating wound of the abdomen after being stabbed at home. There were bowels protruding from the stabbed abdomen. The initial clinical assessment revealed hemodynamic instability, evisceration associated with bowel perforation, absence of active fetal movements, and absence of fetal heart sound from Doppler. An emergency laparotomy was performed. At the end of the surgical intervention, the following lesions were indentified: penetrating wound of the abdomen with evisceration, intestinal perforation, uterine perforation, fetal penetrating chest injury and fetal death.
Conclusion: this case report focuses on the spectrum of non-obstetric, obstetric and fetal injuries that may occur as a result of a penetrating stab wound in a pregnant woman. In general, trauma is a major cause of mortality and morbidity worldwide, [1,2] and is therefore a public health problem.
Several mechanisms may be responsible for trauma: road traffic accidents on top of the list , with nearly 1. More than 45 million peoples worldwide suffer from moderate to severe disability each year due to trauma . According to WHO estimates, by trauma will be the third leading cause of death in the world [1,4]. The abdomen is frequently involve in trauma and consists of severe consequences in terms of morbidity and mortality.
The proportion of damage to the abdomen during trauma remains variable, from 3. Abdominal trauma is classified as blunt trauma or abdominal stab wounds. These can be non-penetrating or penetrating when they pass through the peritoneal cavity. Other factors are associated with a poor outcome in penetrating lesions of the abdomen: The presence of shock, a long interval between the incident and surgery, the associated lesions [9,11]; we also cite comorbidities, extreme ages and pregnancy.
During pregnancy, the anatomical and physiological changes make the management of trauma complex . Regardless of the causative agent and the area of the body concerned, the trauma occurs approximately one out of a dozen pregnancy ; it is a non-obstetrical cause of maternal and fetal death . Maternal and fetal injuries generated during trauma result in spontaneous abortions, premature births, increased caesarean section rates and fetal deaths as fetal complications .
Therefore, aggressive maternal resuscitation in general is the best treatment for the fetus [12,18]. The spectrum of traumatic lesions of the abdomen in pregnant women varies depending on the gestational age ; uterus is usually involved, followed by intestinal loops. We report here a case of abdominal stab wound with direct maternal intestinal and uterine lesions as well as direct fetal chest lesions in a 30 weeks pregnant woman.
This is the case of a year-old black woman of semi-Bantu ethnic group, housewife, married, at 30 weeks of pregnancy. She was referred to the emergency department of the Douala Laquintinie Hospital DLH from a health facility in the city after presenting with a penetrating wound of the abdomen resulting from a stab.
It was associated with bowel protruding from the stab wound. Six hours prior to admission at the emergency room, the patient reports sliding and falling forward on the kitchen knife which she was holding.
She noticed a wound in the peri-umbilical region with bowels protruding from the opening. The patient was taken to a health center where the loops were wrapped using wet gauze and subsequently transferred to us. Regarding the history of the patient, she has neither chronic diseases nor previous surgery; she has 6 healthy children from 6 previous pregnancies. She is at 30 weeks gestation. The follow-up of the pregnancy was done in a hospital of the city. She attended 4 prenatal consultations at the time of admission.
There was no external active bleeding. The patient was immediately placed in Trendelenburg with slight left lateral decubitus.
Two large peripheral intravenous lines were placed and she received ml of Ringer Lactate. We classified bleeding in this patient as class II hemorrhage with a good response to fluid resuscitation.
At the secondary survey, the loco regional examination showed an enlarged abdomen with a gravid uterus, the fundal height was measured at 28 cm. After removal of the gauze from the health center, the presence of viable bowel was noted Figure 1A.
Bowel protrusion was through a longitudinal abdominal wound about 3 cm long and located above the umbilicus Figure 1B. There was an intestinal perforation of 3 cm wide. The abdomen was not sensitive, there was no uterine contracture. The patient no longer felt the active fetal movements; there was no fetal heart sound on Doppler. The vaginal examination was normal. There were no other anomalies noted during the secondary survey. At the end of the clinical assessment, we concluded on a penetrating wound of the abdomen by a knife, complicated with evisceration, intestinal perforation and in utero fetal death in a patient with hemodynamic instability.
Further resuscitation measures consisted of placing a urinary catheter, Paracetamol as an analgesic, an antibiotic prophylaxis and monitoring. We also administered anti-tetanus serum; the bowels were covered by new wet gauze using 0.
The pre-therapeutic biological workup showed anemia at 9. The other tests were within normal limits. The patient was immediately transferred to the operating room for laparotomy.
Initial indications were evisceration, intestinal perforation and hemodynamic instability. No morphological investigations were done yet. In the operating room, the patient was placed supine with a slight left-hand roll; we performed a general anesthesia with orotracheal intubation.
The first operative step consisted of an exploration of the protruding loops, on which we identified a viable loop with jejunal wound of 3 cm Figure 2A on the anti mesenteric edge. Thorough intestinal toileting of the eviscerated bowels was done using isotonic normal saline, followed by the reintegration of bowels. The second operative step consisted in making a median incision. The exploration of the abdominal cavity showed the presence of a gravid uterus with a medial longitudinal perforation of 3 cm with the fetal scalp visualized Figure 3.
We performed a low transverse segmental hysterotomy; which allowed the extraction of a dead male fetus of grams; we noted a right basal penetrating thoracic laceration of 2 cm Figure 4.
Subsequently we performed the delivery of the placenta which was macroscopically normal and then a second exploration of the abdominal cavity was done, supplemented by an abdominal toileting. Surgeons, anesthesiologists, obstetricians and psychologists have contributed to postoperative care; which consisted of the administration of oxytocin, analgesics.
Antibioprophylaxy was continued for 48 hours; bromocriptin was administered to suppress lactation. The first wound dressing was done on postoperative day 4. The patient also benefited from psychological support. She was discharge on postoperative day 7 with oral iron, external psychological and gynecological follow-up. The occurrence of trauma in general during pregnancy is not a rare event as it occurs in one out of 12 cases , road traffic accidents and domestic violence represent the predominant traumatic mechanisms [15,16].
In the case presented here, it was a penetrating wound of the abdomen by a kitchen knife as a result of a domestic accident. In non-pregnant women, the most affected organs are the small intestine, the colon, the liver, the vascular structures .
In pregnant women, intestinal lesions are rare, surpassed by uterine involvement. These lesions may be responsible for fetal death directly from fetal injury or indirectly from hemodynamic instability in the mother. In the clinical case presented, the spectrum of lesions is multiple and comprising of: evisceration, intestinal injury, perforation of the uterus associated with fetal chest injury and in utero fetal death.
Management in a trauma center showed a positive effect in reducing mortality and morbidity , of traumatized patient. The presence of an abdominal trauma in pregnancy necessitates therefore a multidisciplinary approach where obstetricians, surgeons, intensive care units, radiologists act together to ensure the well-being of the mother and fetus and this without delay.
In the case thus reported, we note a delay in the time of management with an initial stop in a 3rd category center. In this center, the eviscerated loop has been wrapped and moistened in sterile gauze; this is the first step to be made by any health care personnel in front of an evisceration. Once at the surgical emergency; the reception and primary assessment was done by a surgeon.
Faced with the absence of active fetal movements and the absence of fetal heart sounds, the morphological assessment was of no interest, the urgent indication for surgery was in the presence of evisceration, perforation and initial hemodynamic instability although taken cared by primary resuscitation. Indeed, the management of abdominal trauma in patients with penetrating lesions has evolved during the last years .
Before the 1st world war, the behavior was conservative or expectation, which often resulted to death. During the First World War, laparotomy became the treatment of choice. Around the , laparotomy became routine in the management of penetrating wounds of the abdomen.
In recent decades, the advent of diagnostic and imaging procedures such as diagnostic peritoneal lavage, laparoscopy, ultrasound and CT have helped to change the algorithm for the management of penetrating trauma. To date, the formal indications of immediate laparotomy in case of penetrating lesions are: hemodynamic instability, peritonitis, evisceration and digestive tract hemorrhage .
Contrary, the operative decision will be assisted by imaging, preceded by wound exploration and repeated clinical examinations . In pregnant women, even in cases of minor trauma, the clinical evaluation at the primary and secondary assessment should both look for non-obstetric, obstetrical and signs of fetal distress [12,18].
Once the assessment of the lesions is established, the management will depend on lesions found, ranging from simple materno-fetal monitoring , to caesarean section, or an emergency laparotomy in a trauma center with a multidisciplinary team .
The occurrence of abdominal trauma during pregnancy is a serious and potentially lethal medical condition for the mother and fetus. It imposes urgent and multidisciplinary care in an appropriate care unit with a neonatology center nearby.
The primary and secondary survey will be exhaustive and as precise as possible, the treatment will have to be in agreement with the objectified injuries in order to guarantee the maternal and fetal well-being as much as possible. The authors would like to thank all the clinicians and staff of the Douala Laquintinie Hospital for the care of the patient. Written informed consent was obtained from the patient for publication of this case report and any accompanying images.
Any identifying material has been removed, including the patient's name, date of entry, face or any distinctive features on the pictures taken. Order for reprints. Toggle navigation.
Fetal radiation doses for model C gamma knife radiosurgery.
In , a year-old girl living in the small southern African nation of Lesotho came to local doctors with all the symptoms of a woman in labor. But the doctors were quickly puzzled because, upon examination, she didn't have a vagina. Even the year-old girl could not believe she was pregnant. Yet by looking at her records the hospital staff realized the young woman was in the hospital days earlier with a knife wound to her stomach.
Girl With No Vagina Becomes Pregnant After Three-Way Knife Fight
A teenage girl in the small African nation of Lesotho became unexpectedly pregnant after a knife fight. Is it the virgin birth all over again? I recently stumbled across an article documenting a curious event that happened in , in the small southern African nation of Lesotho — known as the Kingdom in the Sky because of its mountainous landscapes and lofty altitude. In a year-old girl from Lesotho presented herself at a local hospital with all the symptoms of a woman in labour. Not that unusual, until they went to check her vagina and discovered that she did not have one. The girl suffered from a birth defect called Mullerian agenesis, and had only a shallow skin dimple in place of genitals. It would seem that in terms of producing babies, vaginas are just not as important as they used to be and the doctors delivered a healthy baby boy via Caesarean. The average pregnancy lasts days — the plot thickens.
Windom man charged with kicking pregnant woman, threatening her with knife
An "affair" conducted through the correspondence between two unhappily married would-be lovers is the subject of this brooding fifth novel from the accomplished Israeli author. It begins shortly after Read full review. This novel affords the reader an intellectually voyeuristic observation of a developing relationship. Instead of seeing the caressing of a neck or kiss of the lips, the intimate thoughts and close
Sadly, despite the extensive efforts of medics, another person died at the scene. Three uniformed officers were stationed outside and lights could be seen inside the property, which is in a quiet street near Croydon University Hospital. Want to bookmark your favourite articles and stories to read or reference later?
Man charged with kicking pregnant woman, threatening her with knife
Introduction: trauma is common in pregnancy; it affects one in twelve pregnancies. Abdomen represents the third anatomical region of the body most affected after the limbs and head. As pregnancy evolves, uterus increases in size and goes beyond the pelvic cavity; exposing the uterus to trauma and penetrating injuries in particular. Penetrating abdominal trauma in pregnancy requires a rigorous clinical evaluation to establish a complete assessment of obstetric and non-obstetric lesions.
It involves oral sex, a fight, a stab wound and In that order. It was ascertained she was in labour and knew nothing about it, which is not unheard of these days. After scratching their heads, medics concluded that the girl, who delivered a healthy 2. What happened was this: the girl had performed oral sex with her new lover, and had been caught in the act by a former boyfriend.
Oral Sex, a Knife Fight and Then Sperm Still Impregnated Girl
Please refresh the page and retry. A pregnant woman was killed and her unborn child left critically injured in a knife attack in South London. The year-old victim, who was about a month from her due date, was found with fatal stab wounds at a home in Thornton Heath at about 3. Paramedics delivered her baby at the scene and took it to hospital, where it remains in critical condition. Police arrested a year-old man on suspicion of murder following the attack.
Pregnant woman stabbed to death and baby left critically injured after being delivered at the scene