التفاصيل البيبلوغرافية
| العنوان: |
Previous preterm cesarean delivery: Identification of a new risk factor for uterine rupture in VBAC candidates. |
| المؤلفون: |
Rochelson, Burton, Pagano, Michelle, Conetta, Laurie, Goldman, Benjamin, Vohra, Nidhi, Frey, Michael, Day, Catherine |
| المصدر: |
Journal of Maternal-Fetal & Neonatal Medicine; Nov2005, Vol. 18 Issue 5, p339-342, 4p, 2 Graphs |
| مصطلحات موضوعية: |
UTERINE rupture, LABOR (Obstetrics), PREGNANCY, OBSTETRICS, PREMATURE labor, DELIVERY (Obstetrics), CHILDBIRTH, CESAREAN section |
| مستخلص: |
Objective . A major risk of trials of labor in patients with prior cesarean delivery is uterine rupture. We evaluated the question of whether a previous cesarean delivery at an early gestational age predisposes the patient to subsequent uterine rupture. Methods . This was a retrospective chart review of patients delivering at North Shore University Hospital with a trial of labor after previous cesarean delivery to ascertain all cases of uterine rupture. Patients who had had a previous cesarean delivery at our institution who did not suffer uterine rupture during a trial of labor served as controls. Results . Twenty-five patients suffered a uterine rupture. The incidence of prior preterm cesarean delivery (PPCD) in this group was 40%, compared to 10.9% of 691 laboring vaginal birth after cesarean (VBAC) patients without rupture ( p < 0.001). Patients in the rupture group with a PPCD were less likely to have experienced labor in the index pregnancy and more likely to have had an interdelivery interval of less than two years. Conclusions . An undeveloped lower segment in the preterm uterus represents a risk for later rupture, even if the incision is transverse. [ABSTRACT FROM AUTHOR] |
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| قاعدة البيانات: |
Complementary Index |
