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Uterine rupture and labour after a previous low transverse caesarean section
Author(s) -
Turner MJA,
Agnew G,
Langan H
Publication year - 2006
Publication title -
bjog: an international journal of obstetrics and gynaecology
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 2.157
H-Index - 164
eISSN - 1471-0528
pISSN - 1470-0328
DOI - 10.1111/j.1471-0528.2006.00940.x
Subject(s) - caesarean section , uterine rupture , medicine , obstetrics , vaginal delivery , pregnancy , hysterectomy , surgery , uterus , genetics , biology
This study reviewed all cases of complete uterine rupture (UR) in pregnancy during the decade 1993–2002. In 69 412 deliveries, 5320 women had a single prior caesarean section. Of these, 4021 had a trial of labour and 3129 (77.8%) delivered vaginally. In nine (0.22%) cases, the previous transverse scar ruptured during labour. None of these nine ruptures resulted in maternal or fetal death, peripartum hysterectomy or fetal morbidity. In our practice, a trial of labour in women with a previous low transverse caesarean is associated with a high rate of vaginal delivery and a low rate of UR.