Rupture of the gravid uterus

Lao, Terence T.; Leung, B.F.H.

doi:10.1016/0028-2243(87)90096-7

Cited by 16 publications

(7 citation statements)

References 12 publications

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“…Various reports have shown that scarred uterus is a major predisposing factor for uterine rupture [8,10,16]. The risk of uterine rupture in a previously scarred uterus is increased by a factor of 8-30 as shown in the different studies [3,4]. In this study this risk is 6-fold, a factor that is slightly smaller than those reported in other studies.…”

Section: Discussioncontrasting

confidence: 52%

“…Uterine rupture continues to be one of the great obstetric emergencies associated with high maternal and neonatal mortality and morbidity [4,6,[8][9][10][11]. The incidence of uterine rupture varies widely, ranging from 1:97 in Turkey [5] to 1:6,637 in the USA [6] depending on the type of obstetric care and population study.…”

Section: Discussionmentioning

confidence: 99%

“…In advanced countries, with a decrease in multiparity and increased rate of cesarean section, there has been a decrease in the incidence of uterine rupture [1,2]. However it should be kept in mind that in patients who previously had operations like cesarean section, hysterotomy, and myomectomy, the risk of uterine rupture is 8-30 times the risk in patients with no previous scar [3,4]. The reported incidence of uterine rupture varies widely, ranging from 1:97 [5] to 1:6,637 [6].…”

Section: Introductionmentioning

confidence: 99%

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Rupture of the Gravid Uterus: Experience of the Maternity Hospital, Kuwait

Salem¹,

Makhseed²,

Ahmed³

et al. 2000

Med Princ Pract

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Objective: To review the cases of ruptured uteri at the Maternity Hospital, Kuwait, over a period of 11 years, and to analyze the predisposing factors, maternal and fetal outcome and modes of management. Method: This is a retrospective study of 91 cases of uterine rupture out of 168,486 deliveries at the Maternity Hospital, Kuwait, between January 1981 and December 1993. Result: The incidence of uterine rupture was 1 in 1,851. A previous uterine scar was present in 51 (56%) cases. The percentage of cases with instrumental delivery, malpresentation, history of previous cesarean section, use of oxytocics, higher age of the mother and parity of 5 or more was significantly higher in mothers with uterine rupture than mothers without uterine rupture. The percentage of cases with parity of 5 or more and those using oxytocics was significantly higher in the unscarred uterus group than scarred uterus group. Anterior lower segment was the most common site of rupture. The percentage of cases with simple repair of the uterus was higher in patients with the unscarred uterus than scarred uterus. Total hysterectomy was more common in patients with previously unscarred uterus. The perinatal and maternal mortality was 25.5 and 3.3%, respectively. Conclusion: The incidence of uterine rupture in this study is comparable to that in developed countries. Previous uterine scar, use of oxytocics, grand multiparity, instrumental delivery and malpresentation are associated with the rupture of the gravid uterus.

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Section: Discussioncontrasting

confidence: 52%

Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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Rupture of the Gravid Uterus: Experience of the Maternity Hospital, Kuwait

Salem¹,

Makhseed²,

Ahmed³

et al. 2000

Med Princ Pract

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“…The present study and previous other studies on uter ine rupture [4,10,11,[13][14][15]17] indicate that surgical management as well as the maternal and fetal prognosis are particularly influenced by two variables: the place where the rupture occurs and the presence/absence of a scarred uterus.…”

Section: Discussionmentioning

confidence: 67%

“…Quality of obstetric care inside the hospital can be assessed by looking into the causative factors of uterine rupture. In a developed coun try setting, uterine rupture is typically due to complete dehiscence of cesarean or surgical scars and unscarred uteri rarely undergo rupture unless traumatic obstetric maneuvres are performed [2,9,11,15], In developing countries however, rupture of an un scarred uterus is a frequent situation in obstetric prac tice.…”

Section: Discussionmentioning

confidence: 99%

Audit of Uterine Rupture in Maputo: A Tool for Assessment of Obstetric Care

Zanconato

Machungo

Soler

et al. 1994

Gynecol Obstet Invest

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Records of 96 women who had rupture of the uterus in labor were audited to find circumstances significantly associated with pregnancy outcome. The prevalence was 1 rupture in 424 deliveries. In 74 cases (77.1 %) uterine rupture occurred after hospitalization, the remaining 22 cases being emergency transfers with rupture secondary to a delivery attempt elsewhere. History of a previous cesarean section was present in 46%, whereas 54% of the women had an unscarred uterus. Maternal mortality was 7.3% whilst perinatal mortality was 62.9%. Adverse outcome for the mother was associated with ruptures occurring in unscarred uteri (p < 0.02) and outside the Maternity (p < 0.01); this latter condition also contributed to higher fetal mortality (p < 0.002). The findings confirm that delay in reaching medical care is an aggravating factor in the evolution of uterine rupture in developing countries and suggest the need for better medical attention and timely diagnosis in laboring women with unscarred uterus.

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Oxytocin augmentation of labour in women with epidural analgesia for reducing operative deliveries

Costley¹,

East²

2012

Cochrane Database of Systematic Reviews

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Rupture of the gravid uterus

Cited by 16 publications

References 12 publications

Rupture of the Gravid Uterus: Experience of the Maternity Hospital, Kuwait

Rupture of the Gravid Uterus: Experience of the Maternity Hospital, Kuwait

Audit of Uterine Rupture in Maputo: A Tool for Assessment of Obstetric Care

Oxytocin augmentation of labour in women with epidural analgesia for reducing operative deliveries

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