Adverse Obstetric Outcomes in Women with Previous Cesarean for Dystocia in Second Stage of Labor

Jastrow, Nicole; Demers, Suzanne; Gauthier, Robert; Chaillet, Nils; Brassard, Normand; Bujold, Emmanuel

doi:10.1055/s-0032-1322515

Cited by 13 publications

(2 citation statements)

References 33 publications

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“…Regarding the relationship between prolonged second stage of labor and uterine rupture, our study is in agreement with that of Jastrow et al who discerned that women with previous cesarean for descent arrest were more likely to experience uterine rupture after a prolonged second stage at the next pregnancy. 25 Our results are also in agreement with a WHO study 21 indicating that poor management of labor, especially in the second stage, contributes to uterine rupture. All these studies, including ours, have compiled a large body of evidence suggesting that labor dystocia is an important contributor to uterine rupture.…”

Section: Discussionsupporting

confidence: 92%

Labor Dystocia and the Risk of Uterine Rupture in Women with Prior Cesarean

Vachon-Marceau

Demers

Goyet³

et al. 2016

Amer J Perinatol

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Objective The objective of this study was to evaluate the association between labor dystocia and uterine rupture. Methods We performed a secondary analysis of a multicenter case-control study that included women with single, prior, low-transverse cesarean section who experienced complete uterine rupture during a trial of labor (TOL). For each case, three women who underwent a TOL without uterine rupture were selected as controls. Data were collected on cervical dilatations from admission to delivery. We evaluated the relationship between uterine rupture and labor dystocia according to several criteria, including the World Health Organization's (WHO's) partogram. Results Data were available for 90 cases and 260 controls. Compared with the controls, uterine rupture was associated with less cervical dilatation on admission, slower cervical dilatation in the first stage of labor and longer second stage of labor (all with p < 0.05). Performing cesarean when the labor curve crossed the ACTION line of WHO's partogram or when the second stage was greater than 2 hours could have (1) prevented up to 56% of uterine rupture and (2) reduced the duration of labor in 57% of women with failed TOL. Conclusion Labor dystocia is a significant risk factor for uterine rupture. Labor progression should be assessed regularly in women with prior cesarean.

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Section: Discussionsupporting

confidence: 92%

Labor Dystocia and the Risk of Uterine Rupture in Women with Prior Cesarean

Vachon-Marceau

Demers

Goyet³

et al. 2016

Amer J Perinatol

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“…Other studies have mentioned further risk factors related to the fetus such as dystocia resulting in protracted labor, macrosomia, and abnormal placentation (e.g. placenta accreta, increta or percreta) [15,16].…”

Section: Discussionmentioning

confidence: 99%

Uterine rupture: a five-year experience at a tertiary care centre in Jeddah, Saudi Arabia

Abduljabbar¹,

Agabawi²,

Assiri³

et al. 2018

Clin. Exp. Obstet. Gynecol.

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To determine the incidence, characteristics of patients and identified the risk factors, and maternal and fetal outcomes of uterine rupture at KAUH. Materials and Methods: Retrospective analysis of 51 cases of uterine ruptures (KAUH), from January 2011 to December 2015. Variables (age, gravidity, height, BMI, risk factors, previous C/S, previous abortion antepartum hemorrhage (APH), postpartum hemorrhage (PPH), gestational diabetes mellitus (GDM), smoking, multiple pregnancies, educational level >12 years, induction and method, mode of delivery, gender, fetal weight, neonatal NICU, and death and maternal outcomes. Ethical approval obtained. Inclusion criteria were all women admitted due to labor that had a ruptured uterus and managed at KAUH. Results: In a total of 20,568 deliveries, uterine rupture occurred in 51 cases (incidence of 0.03%, 1:403), scarred vs. unscarred was 1:514, and 1:1870, respectively. Age was 21 to 46 years, with a mean of 32.69 ± 5.59 years. There were two primigravida (3.9%), 27 multigravida (52.9%), and 22 grand multigravida (43.3%). Thirty-nine (76.5%) underwent emergency C/S, three (5.9%) delivered by spontaneous vaginal delivery, and 24 patients (47.1%) had received maximum eight units of packed red blood cells. One patient underwent a hysterectomy, and five women were admitted to the ICU. Hospitals stay was from three to nine days. Nine babies had Apgar score ≤ 6 at one minute, admission to NICU included nine (17.6%) babies. Neonatal death occurred in five (6.1%) babies. Conclusion: Incidence uterine rupture is low 0.03 % in the present institution. Scarred uterus ruptured more frequently than unscarred. Risk factors include age > 35 years, gravidity > 4, past history of C/S, level of education less than 12 years, and significant neonatal morbidity.

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Schulterdystokie

Schwenzer

2016

Schulterdystokie Und Plexusparese

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Adverse Obstetric Outcomes in Women with Previous Cesarean for Dystocia in Second Stage of Labor

Abstract: Previous cesarean for dystocia in the second stage of labor is associated with second-stage uterine rupture at next delivery, especially in cases of suspected fetal macrosomia and prolonged second stage of labor.

Cited by 13 publications

References 33 publications

Labor Dystocia and the Risk of Uterine Rupture in Women with Prior Cesarean

Labor Dystocia and the Risk of Uterine Rupture in Women with Prior Cesarean

Uterine rupture: a five-year experience at a tertiary care centre in Jeddah, Saudi Arabia

Schulterdystokie

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