Uterine rupture and labour after a previous low transverse caesarean section

被引:39
|
作者
Turner, MJA [1 ]
Agnew, G [1 ]
Langan, H [1 ]
机构
[1] Coombe Womens Hosp, Dept Obstet & Gynaecol, Dublin 8, Ireland
关键词
caesarean section; hypoxic encephalopathy; maternal death; perinatal death; uterine rupture;
D O I
10.1111/j.1471-0528.2006.00940.x
中图分类号
R71 [妇产科学];
学科分类号
100211 ;
摘要
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.
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收藏
页码:729 / 732
页数:4
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