Sonographic measurement of lower uterine segment thickness to predict uterine rupture during a trial of labor in women with previous Cesarean section: a meta‐analysis

Kok, N.; Wiersma, I. C.; Opmeer, Brent C.; Graaf, Irene M. de; Mol, Ben Willem J.; Pajkrt, Eva

doi:10.1002/uog.12479

Cited by 144 publications

(98 citation statements)

References 34 publications

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“…7 There is currently no myometrial thickness depth that is sensitive enough to use in clinical practice to predict whether a cesarean scar will rupture or remain intact. 8 In the case of our patient, placenta percreta may have been detected earlier if the patient had undergone an MRI earlier in her pregnancy to evaluate the integrity of her classical cesarean scar. MRI, compared to ultrasound, is more sensitive for the detection of placental invasion into the uterine wall.…”

Section: Introductionmentioning

confidence: 75%

Difficulties in evaluating the pregnant patient with abdominal pain: A complicated case of uterine rupture

Murray¹

2015

AMSRJ

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Section: Introductionmentioning

confidence: 75%

Difficulties in evaluating the pregnant patient with abdominal pain: A complicated case of uterine rupture

Murray¹

2015

AMSRJ

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“…This means measuring both the myometrium and the bladder wall. However in a recent meta-analysis by Kok et al [15] measuring only the myometrium is as useful in predicting rupture. Another issue to debate is cut-off value: it has varied from 3,5 to 2 mm, and so far no precise value can be recommended.…”

Section: Discussionmentioning

confidence: 97%

A case report of delayed diagnosis of uterine rupture following vaginal delivery

Rosado¹,

Rocha²,

Vasconcelos³

et al. 2017

Int J Med Rev Case Rep

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Introduction: A uterine rupture is still a rare event, but its incidence appears to be increasing, even in the unscarred uterus. In our case, the uterine rupture presented itself in an unscarred uterus and after a vaginal delivery. Case report: A 36 years old women with three previous normal deliveries, comes to our hospital for assistance at 32 weeks with a poor pregnancy surveillance. After diagnosing Gestational Diabetes, she is admitted for therapeutic adjustment. She is discharged after achieving metabolic control but comes back a few days later with a stillbirth, born by vaginal delivery. Six days later she presents with: fever and pain; anaemia leukocytosis and a heterogeneous image on ultrasound. However, was decided to start intravenous antibiotics before choosing for surgery. Her condition worsens, and an exploratory laparotomy is done: a posterior uterine wall rupture that required a hysterectomy. Conclusion: Risk factors for uterine rupture were present (maternal age over 35, higher parity, fetal macrosomia) but the absence of any symptom, the regular examination after delivery, and mostly, an unscarred uterus, resulted in a delay in the diagnosis of more than one week, leading to catastrophic consequences: hysterectomy. This case reminds us that uterine rupture happens not only in case of previous uterine surgery, and these cases seem to be increasing because of the increase in other risk factors: advanced maternal age and diabetes with resulting fetal macrosomia.

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“…Основные принципы нашей тактики не противоречат мировому опыту и предполагают: отсутствие ультразвуковых признаков несосто-ятельности рубца на матке [5], спонтанное на-чало родовой деятельности (предпочтительно); возможна индукция родов (амниотомия); непре-рывное кардиомониторное наблюдение за состо-янием плода; применение длительной эпидураль-ной анестезии; проведение ручного обследования полости матки при появлении дополнительных показаний (рутинно не требуется); оперативное вагинальное родоразрешение не исключено.…”

Section: Discussionunclassified

The experience of vaginal birth after cesarean delivery in the Maternity home No 13 of Saint Petersburg

et al. 2017

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Introduction. In developed countries the attempts of vaginal delivery after cesarian section are not an unjustified risk, but considered the most favorable outcome. In Russia, unfortunately, obstetricians do not risk offering a vaginal birth to pregnant women after cesarian section, and outpatient doctors often adjust the abdominal delivery from early stages of pregnancy. The aim of the study: to identify specifics of labor and outcome of delivery for vaginal birth after previous cesarean and determine possible ways to reduce the frequency of abdominal delivery in these patients. Materials and methods. We conducted a retrospective analysis of 337 histories of delivery of patients after previous cesarean in 2016 in “Maternity hospital No 13”. The main group consisted of 189 patients to whom vaginal birth was planned, of which 82 patients completed the birth in accordance with the previous plan (subgroup 1) and 107 women completed cesarean section (group 2). The control group consisted of 148 women who had cesarean delivery without trial vaginal delivery. Results. Among the indications for the first cesarean section in the subgroup 1 were: breech malpresentation – 19.7%, fetal hypoxia – 22.4% and abnormalities of the uterine contractile activity – 13.2%. The most common indications for a second operation in the 2nd subgroup were: premature rupture of amniotic fluid and absence of spontaneous labor (28%), lack of cervical muturity (21.5%), abnormalities of the uterine contractile activity (18.7%), fetal hypoxia (14%), abnormal preliminary period (13.1%), placental abruption (1.9%), absence of the effect of induction (amniotomy) (1.9%), cepalopelvic disproportion (0.9%). Thus, the percentage of success of vaginal delivery was 43.3%. At the same time, the fact of the presence of uterine contractions during the previous delivery did not affect the mode of delivery in this pregnancy. The volume of blood loss in cases of vaginal delivery was significantly less than in the subgroups of patients delivered by cesarean section. Conclusions. The analysis may lead to reviewing indications and terma for the birth after cesarean. Reserve groups have been defined for high chances of vaginal delivery: prolongation of pregnancy up to 41 weeks, induction and augmentation of labor, conservative management of labor with presumed macrosomia, that may help reduce the frequency of repeated abdominal delivery, development of intra- and postoperative complications.

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Sonographic measurement of lower uterine segment thickness to predict uterine rupture during a trial of labor in women with previous Cesarean section: a meta‐analysis

Cited by 144 publications

References 34 publications

Difficulties in evaluating the pregnant patient with abdominal pain: A complicated case of uterine rupture

Difficulties in evaluating the pregnant patient with abdominal pain: A complicated case of uterine rupture

A case report of delayed diagnosis of uterine rupture following vaginal delivery

The experience of vaginal birth after cesarean delivery in the Maternity home No 13 of Saint Petersburg

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