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Archives of Gynecology and Obstetrics

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01-10-2015 | Maternal-Fetal Medicine

The significance of a uterine rupture in subsequent births

Authors: Tamar Eshkoli, Adi Yehuda Weintraub, Joel Baron, Eyal Sheiner

Published in: Archives of Gynecology and Obstetrics | Issue 4/2015

Abstract

Objective

To determine whether women with a previous uterine rupture have a higher risk of adverse perinatal outcome in subsequent births.

Methods

A retrospective study comparing all subsequent singleton cesarean deliveries (CD) of women with a previous uterine rupture, with CD of women with no such history, during the years 1988–2011 was conducted.

Results

Out of 34,601 singleton CD that occurred during the study period, 0.1 % (n = 46) were of women with a previous uterine rupture. Previous uterine rupture was significantly associated with preterm delivery (<37 weeks), low birth weight (<2500 g), cervical tears, and dehiscence of the uterine scar. Pregnancies following a previous uterine rupture were associated with lower Apgar scores at 5 min. However, the perinatal mortality rate did not differ between the two groups. A recurrent uterine rupture occurred in 15.2 % of patients with a previous uterine rupture.

Conclusion

Previous uterine rupture is a risk factor for adverse maternal and perinatal outcome and specifically recurrent uterine rupture. Appropriate consultation regarding these risks is needed for patients with a previous uterine rupture.

Al Qahtani N (2013) Fertility after complete uterine rupture. Curr Opin Obstet Gynecol 25(3):214–219CrossRefPubMed

Al Qahtani NH (2011) Al Hajeri F. Pregnancy outcome and fertility after complete uterine rupture: a report of 20 pregnancies and a review of literature. Arch Gynecol Obstet 284(5):1123–1126CrossRefPubMed

de Lau H, Gremmels H, Schuitemaker NW, Kwee A (2011) Risk of uterine rupture in women undergoing trial of labour with a history of both a caesarean section and a vaginal delivery. Arch Gynecol Obstet 284(5):1053–1058PubMedCentralCrossRefPubMed

Hofmeyr GJ, Say L, Gülmezoglu AM (2005) WHO systematic review of maternal mortality and morbidity: the prevalence of uterine rupture. BJOG 112(9):1221–1228CrossRefPubMed

Cook JR, Jarvis S, Knight M, Dhanjal MK (2013) Multiple repeat caesarean section in the UK: incidence and consequences to mother and child. A national, prospective, cohort study. BJOG 120(1):85–91CrossRefPubMed

Eshkoli T, Weintraub AY, Sergienko R, Sheiner E (2013) Placenta accreta: risk factors, perinatal outcomes, and consequences for subsequent births. Am J Obstet Gynecol 208(3):219.e1–7CrossRefPubMed

Cela V, Freschi L, Simi G, Tana R, Russo N, Artini PG, Pluchino N (2013) Fertility and endocrine outcome after robot-assisted laparoscopic myomectomy (RALM). Gynecol Endocrinol 29(1):79–82CrossRefPubMed

Sahin S, Guzin K, Eroğlu M, Kayabasoglu F, Yaşartekin MS (2014) Emergency peripartum hysterectomy: our 12-year experience. Arch Gynecol Obstet 289(5):953–958CrossRefPubMed

Allam IS, Gomaa IA, Fathi HM, Sukkar GF (2014) Incidence of emergency peripartum hysterectomy in Ain-Shams University Maternity Hospital, Egypt: a retrospective study. Arch Gynecol Obstet 290(5):891–896CrossRefPubMed

10.

Murphy DJ (2006) Uterine rupture. Curr Opin Obstet Gynecol 18(2):135–140CrossRefPubMed

11.

Wilson RD, Lemerand K, Johnson MP, Flake AW, Bebbington M, Hedrick HL, Adzick NS (2010) Reproductive outcomes in subsequent pregnancies after a pregnancy complicated by open maternal-fetal surgery (1996–2007). Am J Obstet Gynecol 203(3):209.e1–6CrossRefPubMed

12.

Ronel D, Wiznitzer A, Sergienko R, Zlotnik A, Sheiner E (2012) Trends, risk factors and pregnancy outcome in women with uterine rupture. Arch Gynecol Obstet 285(2):317–321CrossRefPubMed

13.

Baron J, Weintraub AY, Eshkoli T, Hershkovitz R, Sheiner E (2014) The consequences of previous uterine scar dehiscence and cesarean delivery on subsequent births. Int J Gynaecol Obstet 126(2):120–122CrossRefPubMed

14.

Ofir K, Sheiner E, Levy A, Katz M, Mazor M (2004) Uterine rupture: differences between a scarred and an unscarred uterus. Am J Obstet Gynecol 191(2):425–429CrossRefPubMed

15.

Chibber R, El-Saleh E, Al Fadhli R, Al Jassar W, Al Harmi J (2010) Uterine rupture and subsequent pregnancy outcome—how safe is it? A 25-year study. J Matern Fetal Neonatal Med 23(5):421–424CrossRefPubMed

16.

Orbach A, Levy A, Wiznitzer A, Mazor M, Holcberg G, Sheiner E (2011) Peripartum cesarean hysterectomy: critical analysis of risk factors and trends over the years. J Matern Fetal Neonatal Med 24(3):480–484CrossRefPubMed

Title: The significance of a uterine rupture in subsequent births
Authors: Tamar Eshkoli
Adi Yehuda Weintraub
Joel Baron
Eyal Sheiner
Publication date: 01-10-2015
Publisher: Springer Berlin Heidelberg
Published in: Archives of Gynecology and Obstetrics / Issue 4/2015
Print ISSN: 0932-0067
Electronic ISSN: 1432-0711
DOI: https://doi.org/10.1007/s00404-015-3715-0

At a glance: The STEP trials

Springer Medicine

The significance of a uterine rupture in subsequent births

Abstract

Objective

Methods

Results

Conclusion

At a glance: The STEP trials

Springer Medicine

Abstract

Objective

Methods

Results

Conclusion

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