Uterine rupture during trial of labor after previous cesarean section

Farmer, Richard M.; Kirschbaum, Thomas H.; Potter, Daniel; Strong, Thomas H.; Medearis, Arnold L.

doi:10.1016/0002-9378(91)90457-3

Cited by 115 publications

(46 citation statements)

References 10 publications

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“…Her third delivery resulted in uterine rupture and infant death, probably because the uterus was hypertonic. The incidence of uterine rupture at Toranomon Hospital, 0.5% (2/383), was consistent with that (0-3.2%) in other reports [3][4][5][6][7][8][9][10][11]. Thus, trial of labor in selected patients with low transverse cesarean scars is safe in most in stances.…”

Section: Resultssupporting

confidence: 87%

Uterine Rupture during a Trial of Labor in a Case with a Unicornuate Uterus and a Previous Cesarean Section

Sato¹,

Takahashi²,

Shioda³

1993

Gynecol Obstet Invest

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Section: Resultssupporting

confidence: 87%

Uterine Rupture during a Trial of Labor in a Case with a Unicornuate Uterus and a Previous Cesarean Section

Sato¹,

Takahashi²,

Shioda³

1993

Gynecol Obstet Invest

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“…This recommendation is now validated by most obstetric societies in view of a low incidence of uterine dehiscence (less than 0.7%) and uterine rupture (less than 0.8%) in trials of labor. 5 As demonstrated in Table 2, 76% of patients at risk of peripartum hysterectomy can be identified during the antenatal period. Patients with those risk factors should be counselled antenatally regarding the possibility of a peripartum hysterectomy.…”

Section: Discussionmentioning

confidence: 99%

Peripartum Hysterectomy: 10-Year Experience in Two Manitoba Tertiary Centers

Tallab

Helewa

1998

Ann Saudi Med

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Background:The aim of the study was to review the incidence, associated risk factors, indications and complications of peripartum hysterectomy in the two teaching hospitals of the University of Manitoba, Canada. Patients and Methods:We conducted a retrospective study of all cases of peripartum hysterectomy that occurred over a 10-year period at the Health Sciences Centre (HSC), and over a five-year period at St. Boniface General Hospital (SBGH), the two tertiary centers in Winnipeg, Manitoba. Results: Twenty-five peripartum hysterectomies were identified among 59,839 deliveries at both HSC and SBGH, for an overall incidence of 0.4/1000 births. Twenty-three hysterectomies (92%) were performed as emergency procedures, 19 (76%) followed a cesarean section (relative risk = 15), and 15 patients had single or multiple prior cesarean section scars (relative risk = 14.2). The indications for hysterectomy were: hemorrhage due to placenta/accreta (n=9); uterine atony (n=6); uterine rupture (n=5); retroperitoneal hematoma (n=2); and cervical laceration (n=l). Two cases were performed electively for cervical and ovarian cancer, respectively. Twenty-three women (92%) required blood transfusion, five (20%) had coagulopathy, four (16%) had bladder injuries, and three (12%) required salpingo-oophorectomy for uncontrolled adnexal bleeding. Conclusion: Our reported incidence for peripartum hysterectomy is lower than that reported elsewhere in the recent literature, while the risk factors for hysterectomy were similar to those reported. Although the maternal mortality was nil in this study, morbidity was high.

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“…Despite advances in modern obstetric practice, rupture of gravid uterus still remains as a fetal and maternal life threatening complication especially in developing countries. The incidence of uterine rupture is reported in 0.05% of all pregnancies (1,2). Although some authors demonstrated that there is no significant difference in the outcome of labor between women with and those without previous cesarean section with regard to rupture of the uterus.…”

Section: Introductionmentioning

confidence: 99%

The Evaluation of Uterine Rupture in 61 Turkish Pregnant Women

2011

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Aimtients, a total of 61 cases with uterine rupture of pregnant uterus were observed. 37 of these patients were referred to our clinic with the suspicion of uterine rupture. The other 24 patients were under our control during whole pregnancy period. Therefore the exact incidence of uterine rupture for our department in a teen year period was calculated as 0.12 %. The uterine rupture was classified as complete in 21 (34%) patients and incomplete in 40 (66%) patients according to the surgical findings. The mean age of patients were 30.2±3.6 years and the mean gestational ages were 37.7±2.9 weeks. Fifty four patients (88.5%) were in low socioeconomic status. Fifty one (83.6%) patients did not receive any antenatal care. Forty eight (78.6%) of the cases had previous uterine surgery due to cesarean, myomectomy or metroplasty. Twenty six cases (42.6%) were grand multiparous. The rate of grand multiparity (88.46%) was higher in the group of patients with incomplete uterine rupture. Other observed predisposing factors were induced labor (16

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Uterine rupture during trial of labor after previous cesarean section

Cited by 115 publications

References 10 publications

Uterine Rupture during a Trial of Labor in a Case with a Unicornuate Uterus and a Previous Cesarean Section

Uterine Rupture during a Trial of Labor in a Case with a Unicornuate Uterus and a Previous Cesarean Section

Peripartum Hysterectomy: 10-Year Experience in Two Manitoba Tertiary Centers

The Evaluation of Uterine Rupture in 61 Turkish Pregnant Women

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