Uterus Rupture

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Moshe Mazor - One of the best experts on this subject based on the ideXlab platform.

  • Uterine Rupture: risk factors and pregnancy outcome.
    American journal of obstetrics and gynecology, 2003
    Co-Authors: Keren Ofir, Eyal Sheiner, Amalia Levy, Miriam Katz, Moshe Mazor
    Abstract:

    Abstract Objectives This study aimed at determining risk factors and pregnancy outcome in women with uterine Rupture. Study design We conducted a population-based study, comparing all singleton deliveries with and without uterine Rupture between 1988 and 1999. Results Uterus Rupture occurred in 0.035% (n=42) of all deliveries included in the study (n=117,685). Independent risk factors for uterine Rupture in a multivariable analysis were as follows: previous cesarean section (odds ratio [OR]=6.0, 95% CI 3.2-11.4), malpresentation (OR=5.4, 95% CI 2.7-10.5), and dystocia during the second stage of labor (OR=13.7, 95% CI 6.4-29.3). Women with uterine Rupture had more episodes of postpartum hemorrhage (50.0% vs 0.4%, P P P P P Conclusion Uterine Rupture, associated with previous cesarean section, malpresentation, and second-stage dystocia, is a major risk factor for maternal morbidity and neonatal mortality. Thus, a repeated cesarean delivery should be considered among parturients with a previous uterine scar, whose labor failed to progress.

Keren Ofir - One of the best experts on this subject based on the ideXlab platform.

  • Uterine Rupture: risk factors and pregnancy outcome.
    American journal of obstetrics and gynecology, 2003
    Co-Authors: Keren Ofir, Eyal Sheiner, Amalia Levy, Miriam Katz, Moshe Mazor
    Abstract:

    Abstract Objectives This study aimed at determining risk factors and pregnancy outcome in women with uterine Rupture. Study design We conducted a population-based study, comparing all singleton deliveries with and without uterine Rupture between 1988 and 1999. Results Uterus Rupture occurred in 0.035% (n=42) of all deliveries included in the study (n=117,685). Independent risk factors for uterine Rupture in a multivariable analysis were as follows: previous cesarean section (odds ratio [OR]=6.0, 95% CI 3.2-11.4), malpresentation (OR=5.4, 95% CI 2.7-10.5), and dystocia during the second stage of labor (OR=13.7, 95% CI 6.4-29.3). Women with uterine Rupture had more episodes of postpartum hemorrhage (50.0% vs 0.4%, P P P P P Conclusion Uterine Rupture, associated with previous cesarean section, malpresentation, and second-stage dystocia, is a major risk factor for maternal morbidity and neonatal mortality. Thus, a repeated cesarean delivery should be considered among parturients with a previous uterine scar, whose labor failed to progress.

Everett F Magann - One of the best experts on this subject based on the ideXlab platform.

  • maternal and perinatal complications with uterine Rupture in 142 075 patients who attempted vaginal birth after cesarean delivery a review of the literature
    American Journal of Obstetrics and Gynecology, 2003
    Co-Authors: Suneet P Chauhan, James N Martin, Christine E Henrichs, J C Morrison, Everett F Magann
    Abstract:

    Abstract OBJECTIVE: The purpose of this study was to determine the rate of uterine Rupture and its complications as the result of trial of labor after previous cesarean delivery. STUDY DESIGN: PubMed was searched from 1989 to 2001, with the terms “VBAC, uterine Rupture,” “trial of labor, uterine Rupture,” “cesarean delivery, uterine Rupture,” and “scarred Uterus, Rupture.” For inclusion, reports had to contain data from at least 100 patients with trials of labor that included a description of adverse outcomes. Duplicate reporting from a single institution was excluded. Odds ratios and 95% CIs were calculated. RESULTS: Seventy-two of the 361 articles (20%) that were identified met the inclusion criteria. A 6.2 per 1000 trial of labor rate of uterine Rupture (total = 880 uterine Ruptures in 142,075 trials of labor) was determined. For every 1000 trials of labor the uterine Rupture-related complication rate was 1.8 for packed red blood cell transfusion, 1.5 for pathologic fetal acidosis (cord pH CONCLUSION: Although relatively uncommon, uterine Rupture is associated with several adverse outcomes, depending on the time of the publication and the site and size of the population that was studied.

Eyal Sheiner - One of the best experts on this subject based on the ideXlab platform.

  • Uterine Rupture: risk factors and pregnancy outcome.
    American journal of obstetrics and gynecology, 2003
    Co-Authors: Keren Ofir, Eyal Sheiner, Amalia Levy, Miriam Katz, Moshe Mazor
    Abstract:

    Abstract Objectives This study aimed at determining risk factors and pregnancy outcome in women with uterine Rupture. Study design We conducted a population-based study, comparing all singleton deliveries with and without uterine Rupture between 1988 and 1999. Results Uterus Rupture occurred in 0.035% (n=42) of all deliveries included in the study (n=117,685). Independent risk factors for uterine Rupture in a multivariable analysis were as follows: previous cesarean section (odds ratio [OR]=6.0, 95% CI 3.2-11.4), malpresentation (OR=5.4, 95% CI 2.7-10.5), and dystocia during the second stage of labor (OR=13.7, 95% CI 6.4-29.3). Women with uterine Rupture had more episodes of postpartum hemorrhage (50.0% vs 0.4%, P P P P P Conclusion Uterine Rupture, associated with previous cesarean section, malpresentation, and second-stage dystocia, is a major risk factor for maternal morbidity and neonatal mortality. Thus, a repeated cesarean delivery should be considered among parturients with a previous uterine scar, whose labor failed to progress.

Amalia Levy - One of the best experts on this subject based on the ideXlab platform.

  • Uterine Rupture: risk factors and pregnancy outcome.
    American journal of obstetrics and gynecology, 2003
    Co-Authors: Keren Ofir, Eyal Sheiner, Amalia Levy, Miriam Katz, Moshe Mazor
    Abstract:

    Abstract Objectives This study aimed at determining risk factors and pregnancy outcome in women with uterine Rupture. Study design We conducted a population-based study, comparing all singleton deliveries with and without uterine Rupture between 1988 and 1999. Results Uterus Rupture occurred in 0.035% (n=42) of all deliveries included in the study (n=117,685). Independent risk factors for uterine Rupture in a multivariable analysis were as follows: previous cesarean section (odds ratio [OR]=6.0, 95% CI 3.2-11.4), malpresentation (OR=5.4, 95% CI 2.7-10.5), and dystocia during the second stage of labor (OR=13.7, 95% CI 6.4-29.3). Women with uterine Rupture had more episodes of postpartum hemorrhage (50.0% vs 0.4%, P P P P P Conclusion Uterine Rupture, associated with previous cesarean section, malpresentation, and second-stage dystocia, is a major risk factor for maternal morbidity and neonatal mortality. Thus, a repeated cesarean delivery should be considered among parturients with a previous uterine scar, whose labor failed to progress.