No abstract

Uterine rupture is a catastrophic obstetrical emergency with serious effects on both women and fetuses. Operative hysteroscopic procedures can add more risk factor for occurrence of this tragedy. Here, we report a case of spontaneous recurrent rupture uterus at 33 weeks of gestation in a 32 years old woman with previous history of hysteroscopic resection of submucous myoma after development of acute abdomen. Uterine repair of fundal rupture was performed through emergency exploratory laparotomy. Surgeons should explain to their patients the hazards of probable risk of recurrent and multiple uterine rupture in the future pregnancy and to document this discussion in the medical records before proceeding to operative hysteroscopic procedures.

Cox hazards models were employed to control for potential confounders. RESULTS: Crude rates of total respiratory hospitalizations were found to be significantly higher in the CD as compared to the VD group (OR¼1.238; 95%CI, 1.06-1.43, p¼0.006; Table). The Kaplan-Meier survival curve showed significantly higher cumulative hospitalization rates in the CD group as compared to the VD group (log rank p 0.001; Figure). Using a Cox proportional hazards model, adjusted for birthweight, preeclampsia, diabetes, smoking, induction of labor and obesity, the association remained significant (Adjusted HR¼ 1.212, 95%CI 1.401-1.048, p¼0.009). CONCLUSION: Cesarean delivery appears to significantly impact future respiratory health of the offspring in a sibling analysis. Mode of delivery appears to play a major role in the future respiratory health of a child.

Cox hazards models were employed to control for potential confounders. RESULTS: Crude rates of total respiratory hospitalizations were found to be significantly higher in the CD as compared to the VD group (OR¼1.238; 95%CI, 1.06-1.43, p¼0.006; Table). The Kaplan-Meier survival curve showed significantly higher cumulative hospitalization rates in the CD group as compared to the VD group (log rank p 0.001; Figure). Using a Cox proportional hazards model, adjusted for birthweight, preeclampsia, diabetes, smoking, induction of labor and obesity, the association remained significant (Adjusted HR¼ 1.212, 95%CI 1.401-1.048, p¼0.009). CONCLUSION: Cesarean delivery appears to significantly impact future respiratory health of the offspring in a sibling analysis. Mode of delivery appears to play a major role in the future respiratory health of a child.