Open AccessPregnancy outcome in patients with previous uterine rupture
Author(s) -
USTA IHAB M.,
HAMDI MOHAMAD A.,
ABU MUSA ANTOINE A.,
NASSAR ANWAR H.
Publication year - 2007
Publication title -
acta obstetricia et gynecologica scandinavica
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.401
H-Index - 102
eISSN - 1600-0412
pISSN - 0001-6349
DOI - 10.1080/00016340601089768
Subject(s) - medicine , uterine rupture , pregnancy , obstetrics , incidence (geometry) , gestation , uterus , gestational age , gynecology , statistical significance , surgery , genetics , physics , optics , biology
Background. To review the outcome of subsequent pregnancies in conservatively managed cases of uterine rupture. Methods. Charts of patients with full thickness uterine rupture in the past 25 years were reviewed and information on subsequent pregnancies was extracted from maternal and neonatal charts. Results. Thirty‐seven patients with uterine rupture were identified; the uterus was scarred in 62.2%. Ruptures were repaired in 26 (70.3%). Twelve patients subsequently conceived (24 pregnancies), with recurrence in 8/24 (33.3%) pregnancies or 5/12 (41.7%) patients. Patients with recurrence had a shorter median interval from previous rupture (2 versus 5 years), a higher incidence of previous longitudinal ruptures (60.0% versus 0.0%), and the median gestational age at the preceding rupture was lower without reaching statistical significance (34 versus 38 weeks; p = 0.209). Conclusions. Longitudinal ruptures and short intervals between rupture and subsequent pregnancy predispose to recurrence of uterine rupture.