Uterine rupture and labour after a previous low transverse caesarean section

Abstract

This study reviewed all cases of complete uterine rupture (UR) in pregnancy during the decade 1993-2002. In 69 412 deliveries, 5320 women had a single prior caesarean section. Of these, 4021 had a trial of labour and 3129 (77.8%) delivered vaginally. In nine (0.22%) cases, the previous transverse scar ruptured during labour. None of these nine ruptures resulted in maternal or fetal death, peripartum hysterectomy or fetal morbidity. In our practice, a trial of labour in women with a previous low transverse caesarean is associated with a high rate of vaginal delivery and a low rate of UR.

Delivery outcome after induction of labour using prostaglandin in women with one previous caesarean section

“…This is much less than is quoted in some larger studies. Turner et al (2006) reviewed the outcome of delivery in 69,412 women who delivered in the Coombe Women's Hospital Ireland, between 1993 and 2002. A total of 5,320 had one caesarean.…”

Outcome of Pregnancy in Women With Previous Caesarean Section

“…7 shows 76%, Turner MJA. 8 shows 77.8% and Chaudhari DR. 9 shows 67%. Our success rate is 61.36% and is comparable to studies by Yadav K. 5 and Chaudhari DR. 9…”

The Role of Uterine Closure in the Risk of Uterine Rupture

“…In our previous investigation, we observed a 0.5% rate of uterine rupture in women with doublelayer closure, which was similar to that in other cohort studies in which it was standard practice. 4,5 Our overall rate of 1.2% was elevated because of the high proportion of women who had previous single-layer closure, which was associated with 3.1% of uterine ruptures. This rate is similar to the rate of uterine rupture (2.9%, 15 cases over 517 trials of labor) reported by Rozenberg et al 6 in their prospective cohort study in France.…”