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A 34-year-old woman with seven previous cesarean deliveries and a history of scant prenatal care presented at 32 weeks' gestation with constant, vague lower abdominal pain that had worsened over the past day. Her vital signs were normal, and the examination was notable for tenderness in both lower quadrants. Laboratory tests revealed a hematocrit value of 39% and a white-cell count of 18,300 per cubic millimeter with 8% bands. The fetal status was reassuring, on the basis of a reactive heart-rate tracing with rare variable decelerations. Infrequent uterine contractions were noted, and the cervix was long and closed with no . . . [Full Text of this Article] |
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