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Latest & greatest articles for Uterine Rupture
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Uterinerupture and cesarean section-pregnancy interval: a systematic review of the literature, and mathematical modeling of the influence of extending the interval on ART pregnancy rates Print | PDF PROSPERO This information has been provided by the named contact for this review. CRD has accepted this information in good faith and registered the review in PROSPERO. The registrant confirms that the information supplied for this submission is accurate and complete. CRD bears no responsibility
Diagnosis and management of a heterotopic pregnancy and ruptured rudimentary uterine horn Heterotopic pregnancies implanted in a rudimentary uterine horn account for 1 in 2-3 million gestations, and confer significant risk of morbidity due to uterinerupture and hemorrhage.A 34-year-old nullipara presented with acute pelvic pain at 17 weeks of gestation with dichorionic-diamniotic twins, one in each horn of an anomalous uterus first diagnosed in pregnancy as bicornuate. Three-dimensional (...) and ruptured rudimentary uterine horn. This case demonstrates the importance of pre-pregnancy diagnosis and management of mullerian anomalies.
The International Network of Obstetric Survey Systems study of uterinerupture: a descriptive multi-country population-based study International comparison of complete uterine rupture.Descriptive multi-country population-based study.International.International Network of Obstetric Survey Systems (INOSS).We merged individual data, collected prospectively in nine population-based studies, of women with complete uterinerupture, defined as complete disruption of the uterine muscle and the uterine (...) serosa, regardless of symptoms and rupture of fetal membranes.Prevalence of complete uterinerupture, regional variation and correlation with rates of caesarean section (CS) and trial of labour after CS (TOLAC). Severe maternal and perinatal morbidity and mortality.We identified 864 complete uterineruptures in 2 625 017 deliveries. Overall prevalence was 3.3 (95% CI 3.1-3.5) per 10 000 deliveries, 22 (95% CI 21-24) in women with and 0.6 (95% CI 0.5-0.7) in women without previous CS. Prevalence
Sonographic diagnosis of spontaneous uterinerupture at the site of cornual wedge resection scar â€“ a case report Introduction: Uterinerupture and uterine dehiscence during pregnancy are known complications of a scarred uterus. Spontaneous uterinerupture at the site of prior cornual wedge resection has been previously reported in the literature, however remains rare. Discussion: We present a case of uterinerupture at 30 weeks gestation. This woman had previous right sided interstitial (...) pregnancy treated with uncomplicated laparoscopic cornual wedge resection at eight weeks gestation. The index pregnancy occurred eight months after surgery. An emergency ultrasound prompted by non-specific abdominal pain and tenderness at 30 weeks gestation enabled diagnosis of uterine dehiscence. At emergency caesarean section four hours later full thickness wall rupture and haemoperitoneum were found. Surgical intervention resulted in a good outcome for both mother and baby. Conclusion: A brief
Uterinerupture in second-trimester misoprostol-induced abortion after cesarean delivery: a systematic review Untitled Document The CRD Databases will not be available from 08:00 BST on Friday 4th October until 08:00 BST on Monday 7th October for essential maintenance. We apologise for any inconvenience.
Prediction of uterinerupture associated with attempted vaginal birth after cesarean delivery The purpose of this study was to develop a model that predicts individual-specific risk of uterinerupture during an attempted vaginal birth after cesarean delivery.Women with 1 previous low-transverse cesarean delivery who underwent a trial of labor with a term singleton were identified in a concurrently collected database of deliveries that occurred at 19 academic centers during a 4-year period. We (...) analyzed different classification techniques in an effort to develop an accurate prediction model for uterine rupture.Of the 11,855 women who were available for analysis, 83 women (0.7%) had had a uterinerupture. The optimal final prediction model, which was based on a logistic regression, included 2 variables: any previous vaginal delivery (odds ratio, 0.44; 95% CI, 0.27-0.71) and induction of labor (odds ratio, 1.73; 95% CI, 1.11-2.69). This model, with a c-statistic of 0.627, had poor
Systematic review of the risk of uterinerupture with the use of amnioinfusion after previous cesarean delivery Systematic review of the risk of uterinerupture with the use of amnioinfusion after previous cesarean delivery Systematic review of the risk of uterinerupture with the use of amnioinfusion after previous cesarean delivery Hicks P CRD summary This review assessed the risk of uterinerupture with amnioinfusion in women with a previous Caesarean section. The author concluded (...) that there was insufficient evidence to draw definitive conclusions and that further studies are required. The author's conclusions appear to reflect the limitations of the evidence, but poor reporting of the review methods hinders an assessment of the reliability of the results. Authors' objectives To assess the risk of uterinerupture following amniotransfusion in women with a previous Caesarean section. Searching MEDLINE (inception to November 2001) and the Cochrane Library (Cochrane Database of Systematic Reviews
Factors predisposing to perinatal death related to uterinerupture during attempted vaginal birth after caesarean section: retrospective cohort study. To determine the factors associated with an increased risk of perinatal death related to uterinerupture during attempted vaginal birth after caesarean section.Population based retrospective cohort study.Data from the linked Scottish Morbidity Record and Stillbirth and Infant Death Survey of births in Scotland, 1985-98.All women with one previous (...) caesarean delivery who gave birth to a singleton infant at term by a means other than planned repeat caesarean section (n = 35 854).All intrapartum uterinerupture and uterinerupture resulting in perinatal death (that is, death of the fetus or neonate).The overall proportion of vaginal births was 74.2% and of uterinerupture was 0.35%. The risk of intrapartum uterinerupture was higher among women who had not previously given birth vaginally (adjusted odds ratio 2.5, 95% confidence interval 1.6 to 3.9
Systematic review of the incidence and consequences of uterinerupture in women with previous caesarean section. To evaluate the incidence and consequences of uterinerupture in women who have had a delivery by caesarean section.Systematic review.Medline, HealthSTAR, Cochrane Database of Systematic Reviews, Cochrane Controlled Trials Register, National Centre for Reviews and Dissemination, reference lists, and national experts. Studies in all languages were eligible if published (...) in full.Methodological quality was evaluated for each study by using criteria from the United States Preventive Services Task Force and the National Health Service Centre for Reviews and Dissemination. Uterinerupture was categorised as asymptomatic or symptomatic.We reviewed 568 full text articles to identify 71 potentially eligible studies, 21 of which were rated at least fair in quality. Compared with elective repeat caesarean delivery, trial of labour increased the risk of uterinerupture by 2.7 (95% confidence