Uterine rupture and its complications in the Netherlands: A prospective study

Kwee, Anneke; Bots, Michiel L.; Visser, Gerard H.A.; Bruinse, Hein W.

doi:10.1016/j.ejogrb.2006.02.005

Cited by 49 publications

(54 citation statements)

References 15 publications

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“…Maternal morbidity in this study is similar to that of two other population-based studies that detailed maternal morbidity from UR, one from Nova Scotia, which identified 18 'complete' ruptures (using a definition similar to the one used here), 5 and one from the Netherlands, which had 91 symptomatic ruptures among women with a trial of labor. 6 Hysterectomy rates in those studies were similar (5.6% and 4.1%, respectively) to the 5.7% rate found in the present study. The rate of maternal transfusion in this study (13%) was lower than those reported in Nova Scotia (44%) and the Netherlands (19%).…”

Section: Discussionsupporting

confidence: 90%

“…The only two previous populationbased studies using clinical databases to investigate maternal and perinatal outcomes following UR were conducted outside the United States. 5,6 The Massachusetts Uterine Rupture Study was undertaken to identify all true cases of UR between 1990 and 1998, regardless of the history of previous cesarean or gestational age, using a combination of linked administrative data and information from abstracted medical records. 7 This paper focuses on the subgroup of women identified in the study who had a singleton, term pregnancy and who attempted a VBAC and experienced a UR.…”

Section: Introductionmentioning

confidence: 99%

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Severe maternal and perinatal outcomes from uterine rupture among women at term with a trial of labor

et al. 2012

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Objective: To describe maternal and perinatal morbidity and mortality associated with uterine rupture (UR) among women with prior cesarean/s, singleton term pregnancies and a trial of labor after cesarean (TOLAC).Study Design: Linked hospital discharge files and birth/fetal death certificates identified potential cases of UR in Massachusetts from 1990 to 1998 with definitive identification by medical record abstraction.Result: Among the 347 identified URs, severe outcomes occurred in 86 cases (25%), in 49 (14%) of mothers and 49 (14%) of infants. Of the infants, 25 were discharged with a good prognosis. Maternal age and interdelivery interval <18 months (relative risk (RR) ¼ 1.55; 95% confidence interval (CI): 1.05, 2.31) were associated with a severe outcome. The type of hospital and labor were not associated with the increased risk of a severe outcome.Conclusion: Assuming a 0.7% UR rate among women at term with a TOLAC, the increased rate of severe outcomes related to UR above the baseline risk of elective cesarean is estimated to be 1.3 per 1000 TOLACs.

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Section: Discussionsupporting

confidence: 90%

Section: Introductionmentioning

confidence: 99%

Severe maternal and perinatal outcomes from uterine rupture among women at term with a trial of labor

et al. 2012

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“…In severe cases, the fetus develops a hypoxic-ischaemic encephalopathy, and in more severe cases still, he is stillborn. The perinatal mortality associated with uterine rupture differs depending on the study, ranging from 1.6 to 13.7% [26]. The perinatal mortality due to uterine rupture in Engu, Nigeria, was 830/100,000 deliveries.…”

Section: Maternal and Perinatal Complications Of Uterine Rupturementioning

confidence: 96%

“…Kwee et al [26] reported on a prospective study carried out in 89 hospitals in the Netherlands. Over a period of 12 months, there were 98 cases of rupture of the uterus; in only three cases did the ruptures involve an unscarred uterus.…”

Section: Aetiologymentioning

confidence: 99%

Uterine rupture: the road ahead?

Lombaard

2006

Eur Clinics Obstet Gynaecol

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The worldwide increase in caesarean sections, as well as that in laparoscopic and hysteroscopic surgery, augments the risk for women to suffer a uterine rupture. Also the use of misoprostol for the termination of pregnancy and induction of labour, particularly in developing countries, contributes to the greater incidence of uterine rupture. In developing countries, again, neglected obstructed labour remains a very frequent cause of uterine rupture. Diagnosis of uterine rupture may be difficult and, if made too late, serious and even devastating complications may follow, culminating in infant and/or maternal death. A high index of suspicion is indicated when dealing with women at risk. Options in terms of managing uterine rupture include simple repair of the tear, subtotal, and total hysterectomy. Counselling women before and after surgical interventions on the genital tract, especially caesarean section on request, should include information concerning the subsequent risk of uterine rupture.

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“…In a recent prospective multi-center study in the Netherlands to determine the outcome of pregnancy in women with a history of caesarean, UR was found in 1.5% during a TOL, with a risk of perinatal death at 1.2 per 1,000. The risk of UR increased significantly when labour was induced with prostaglandins alone or combined with oxytocin or when labour was augmented with oxytocin [123].…”

Section: Management Of Labourmentioning

confidence: 99%

Current evidence in the management of previous caesarean section: clinical review

Muppala

Najia

2007

Eur Clinics Obstet Gynaecol

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The safety of women undergoing childbirth with prior caesarean delivery is a major public health concern. Most of the earlier studies focused on the success rate of vaginal birth after caesarean section; later focus shifted to maternal and neonatal safety, and presently, each factor that would influence the outcome of trial of labour is being considered on both the success and the safety of vaginal birth following caesarean delivery. The contribution of induction of labour to uterine rupture is not entirely clear. Although large multi-center randomised trials comparing planned elective repeat caesarean delivery vs vaginal delivery following prior caesarean delivery are required for conclusive evidence; current evidence suggests that, in properly selected women, vaginal birth can be safely achieved if adequate facilities to monitor the foetus and immediate caesarean can be performed. Unbiased evidence-based information should be given to patients in making decisions about mode of delivery based on individual characteristics. The purpose of this review is to understand each factor that would influence the success and safety of vaginal birth after caesarean delivery.

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Uterine rupture and its complications in the Netherlands: A prospective study

Cited by 49 publications

References 15 publications

Severe maternal and perinatal outcomes from uterine rupture among women at term with a trial of labor

Severe maternal and perinatal outcomes from uterine rupture among women at term with a trial of labor

Uterine rupture: the road ahead?

Current evidence in the management of previous caesarean section: clinical review

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