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National survey of uterine rupture in Japan: Annual report of Perinatology Committee, Japan Society of Obstetrics and Gynecology, 2018
Author(s) -
Makino Shintaro,
Takeda Satoru,
Kondoh Eiji,
Kawai Kenta,
Takeda Jun,
Matsubara Shigeki,
Itakura Atsuo,
Sago Haruhiko,
Tanigaki Shinji,
Tanaka Mamoru,
Ikeda Tomoaki,
Kanayama Naohiro
Publication year - 2019
Publication title -
journal of obstetrics and gynaecology research
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.597
H-Index - 50
eISSN - 1447-0756
pISSN - 1341-8076
DOI - 10.1111/jog.13924
Subject(s) - uterine rupture , medicine , obstetrics , incidence (geometry) , obstetrics and gynaecology , hysterectomy , gynecology , pregnancy , uterus , surgery , physics , biology , optics , genetics
Abstract Aim To clarify the frequency of occurrence of uterine rupture and its prognosis, a nationwide survey was performed. Methods Cases of uterine rupture recorded for a period of 5 years were included. Results There were 152 cases of uterine rupture with an incidence rate of 0.015%. The scarred uterine rupture cases were found to have a significantly earlier occurrence of uterine ruptures in comparison to the unscarred cases: unscarred 39.0 weeks, cesarean section 37.0 weeks, myomectomy 32 weeks and adenomyomectomy 30–32 weeks. And it became apparent that the frequency of hysterectomy, cerebral palsy and neonatal death were higher in the cases of uterine rupture during labor than before delivery. Among the cases of scarred uterine rupture, neonatal prognosis was poorer in cases of pregnancy after myomectomy or adenomyomectomy in comparison with postcesarean section cases. Conclusion This survey revealed the current incidence of uterine rupture in Japan.