Anzeige
Erschienen in:
01.10.2015 | Maternal-Fetal Medicine
The significance of a uterine rupture in subsequent births
Erschienen in: Archives of Gynecology and Obstetrics | Ausgabe 4/2015
Einloggen, um Zugang zu erhaltenAbstract
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.