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Uterine Rupture During VBAC Trial of Labor: Risk Factors and Fetal Response
Author(s) -
O'BrienAbel Nancy
Publication year - 2003
Publication title -
journal of midwifery and women's health
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.543
H-Index - 62
eISSN - 1542-2011
pISSN - 1526-9523
DOI - 10.1016/s1526-9523(03)00088-6
Subject(s) - uterine rupture , vaginal birth , medicine , obstetrics , fetus , cesarean delivery , gynecology , pregnancy , uterus , biology , genetics
For the woman with a prior uterine scar, neither repeat elective cesarean birth nor vaginal birth after cesarean birth (VBAC) trial of labor (TOL) is risk‐free. When VBAC‐TOL is successful, it is associated with less morbidity than repeat cesarean birth. However, when VBAC‐TOL fails due to uterine rupture, severe consequences often ensue. The challenge for clinicians today is to provide women who desire TOL after cesarean birth, a more individualized risk assessment of uterine rupture, thereby enhancing success and optimizing outcome. This article examines major risk factors for uterine rupture during VBAC‐TOL. In addition, fetal response to uterine rupture and neonatal outcomes are reviewed.