Fertility after complete uterine rupture

Qahtani, Nourah Al

doi:10.1097/gco.0b013e32835fab11

Cited by 11 publications

(8 citation statements)

References 42 publications

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“…The risk for recurrent (and possibly fatal) uterine rupture is too high to allow attempted vaginal delivery. [71][72][73][74] This poses challenges for low-resource countries where transportation and communication are often difficult and patients may not present for care in a timely fashion. Women in developing countries who preserve their fertility after sustaining a ruptured uterus must be carefully (and repeatedly) instructed to register for antenatal care and to return to the hospital by the 32nd week of pregnancy.…”

Section: Pregnancy After Previous Uterine Rupturementioning

confidence: 99%

“…Women in developing countries who preserve their fertility after sustaining a ruptured uterus must be carefully (and repeatedly) instructed to register for antenatal care and to return to the hospital by the 32nd week of pregnancy. [71][72][73][74] Such patients should be explicitly counseled that they will need a repeat cesarean 702 Obstetrical and Gynecological Survey delivery before they go into labor. Hospitals must be prepared to accommodate such patients in suitable waiting facilities.…”

Section: Pregnancy After Previous Uterine Rupturementioning

confidence: 99%

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Uterine Rupture in Resource-Poor Countries

Berhe¹,

Wall²

2014

Obstetrical &Amp; Gynecological Survey

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Uterine rupture afflicts the world's poor women disproportionately. In resource-poor settings, uterine rupture is a reflection of ill-equipped, badly managed, and underresourced health care systems that seem largely indifferent to the reproductive health needs of women. The ultimate success (or failure) of these countries depends in large part upon their commitment to maintaining a healthy and productive female population.

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Section: Pregnancy After Previous Uterine Rupturementioning

confidence: 99%

Section: Pregnancy After Previous Uterine Rupturementioning

confidence: 99%

Uterine Rupture in Resource-Poor Countries

Berhe¹,

Wall²

2014

Obstetrical &Amp; Gynecological Survey

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“…The rate in some regions reached 71.588% 21 . Therefore, the first step to reduce the rate of cesarean section is to reduce the number of cesarean sections performed without indications 5,22,23 …”

Section: Discussionmentioning

confidence: 99%

“…While uterine rupture is a rare obstetric complication with an incidence of 0.5%, 1,2 its outcome can be disastrous 3 . Once it occurs, it progresses rapidly and directly threatens the lives of both the mother and her infant(s) 4,5 . The mortality rate of uterine rupture is 5%, and the fetal death rate exceeds 65% 6 .…”

Section: Introductionmentioning

confidence: 99%

Ultrasonic manifestations and clinical analysis of 25 uterine rupture cases

Xiao

Zhang

Yun

et al. 2021

J of Obstet and Gynaecol

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Purpose To explore the risk factors, ultrasonic manifestations, clinical features, and maternal and neonatal outcomes associated with complete uterine rupture. Basic procedures All cases of complete uterine rupture diagnosed and treated in Jiangxi Maternal and Child Health Hospital from January 2012 to July 2018 were retrospectively analyzed. Risk factors, ultrasonic manifestations, clinical features, and maternal and infant outcomes were analyzed. Result All patients had a history of uterine surgery or induced abortion. Ultrasound examination revealed 15 cases of complete rupture of the uterus, five cases of missed diagnosis, three cases of misdiagnosis, and two cases of direct emergency operation without ultrasonography because of typical clinical manifestations and critical conditions. The clinical manifestations of 25 cases of uterine rupture varied from asymptomatic to clinical signs of “resting” rupture of the uterus to severe pain, hypotension, shock, and coma. All patients underwent surgical treatment, of which one case underwent DIC and died after rescue. The maternal mortality rate was 4% (1/25), the mortality rate of newborns (two pregnant women was twins) was 44% (12/27). Conclusion A history of uterine surgery is a major risk factor for uterine rupture. Attention should be paid not only to women who are pregnant again after cesarean section but also to those who have undergone other uterine operations (such as laparoscopic myomectomy, laparoscopic cornual pregnancy removal, etc.), delivery plans should be formulated accordingly. In cases of sudden abdominal pain during pregnancy or childbirth, the possibility of uterine rupture should be considered to achieve a timely and correct diagnosis and treatment.

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“…However, the chances of a follow-up pregnancy are good if the uterus can be preserved. This is underlined by a series of 69,452 analyzed deliveries, where 27 women suffered from a uterine rupture and only two of these developed a secondary infertility [49].…”

Section: The Consequences Of Uterine Rupturementioning

confidence: 99%

The impact of Cesarean section on female fertility: a narrative review

Hinterleitner¹,

Kiss²,

Ott³

2021

Clin. Exp. Obstet. Gynecol.

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The mode of giving birth has changed over the years. In 1990, approximately 10% of women delivered by Cesarean section (CS), whereas this procedure is performed daily in obstetrics today. When a surgical intervention performed, it is necessary to consider special risks and complications, including long-term effects. Mechanism: This review focuses on fertility after CS. Evidence suggests that many women who aim to have subsequent children have difficulties becoming pregnant after they have delivered by CS. Findings: There are several causes for subfertility/infertility after CS, including post-Cesarean niches, intraabdominal adhesions, and the preference for a smaller family size, among others. Conclusion: This review provides an overview of the available literature, which supports the conclusion that CS is associated with decreased odds of subsequent pregnancy and live birth.

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Fertility after complete uterine rupture

Abstract: Every obstetrician is bound to face the challenge of uterine rupture or women with prior uterine rupture. Those women should have a favorable maternal and perinatal outcome when managed in a tertiary center.

Cited by 11 publications

References 42 publications

Uterine Rupture in Resource-Poor Countries

Uterine Rupture in Resource-Poor Countries

Ultrasonic manifestations and clinical analysis of 25 uterine rupture cases

The impact of Cesarean section on female fertility: a narrative review

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