Intrapartum Predictors of Uterine Rupture
ABSTRACT This case-controlled study reviewed 26 cases of uterine rupture at an academic medical center. Controls were selected in a 2:1 design by reviewing the immediate successful vaginal birth after cesarean delivery (VBAC) before and after each case of uterine rupture. At less than 2 hours before...
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| Veröffentlicht in: | American journal of perinatology 2007-05, Vol.24 (5), p.317-321 |
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| container_end_page | 321 |
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| container_issue | 5 |
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| container_title | American journal of perinatology |
| container_volume | 24 |
| creator | Craver Pryor, Elizabeth Mertz, Heather L Beaver, Brittian W Koontz, Gretchen Martinez-Borges, Anibal Smith, Jennifer G Merrill, David |
| description | ABSTRACT
This case-controlled study reviewed 26 cases of uterine rupture at an academic medical center. Controls were selected in a 2:1 design by reviewing the immediate successful vaginal birth after cesarean delivery (VBAC) before and after each case of uterine rupture. At less than 2 hours before delivery or acute uterine rupture, mild and severe variable decelerations, persistent abdominal pain, and hyperstimulation were more common in cases of uterine rupture as compared to controls and had statistically significant positive likelihood ratios (LR). Mild and severe variable fetal heart rate decelerations, especially in the presence of persistent abdominal pain, may predict uterine rupture in patients attempting VBAC. |
| doi_str_mv | 10.1055/s-2007-981433 |
| format | Article |
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This case-controlled study reviewed 26 cases of uterine rupture at an academic medical center. Controls were selected in a 2:1 design by reviewing the immediate successful vaginal birth after cesarean delivery (VBAC) before and after each case of uterine rupture. At less than 2 hours before delivery or acute uterine rupture, mild and severe variable decelerations, persistent abdominal pain, and hyperstimulation were more common in cases of uterine rupture as compared to controls and had statistically significant positive likelihood ratios (LR). Mild and severe variable fetal heart rate decelerations, especially in the presence of persistent abdominal pain, may predict uterine rupture in patients attempting VBAC.</description><identifier>ISSN: 0735-1631</identifier><identifier>EISSN: 1098-8785</identifier><identifier>DOI: 10.1055/s-2007-981433</identifier><identifier>PMID: 17516310</identifier><language>eng</language><publisher>United States</publisher><subject>Academic Medical Centers ; Adult ; Case-Control Studies ; Female ; Heart Rate, Fetal ; Humans ; Medical Records ; North Carolina - epidemiology ; Pregnancy ; Pregnancy Outcome ; Prenatal Diagnosis ; Retrospective Studies ; Risk Factors ; Uterine Rupture - diagnosis ; Uterine Rupture - etiology ; Uterine Rupture - physiopathology ; Vaginal Birth after Cesarean</subject><ispartof>American journal of perinatology, 2007-05, Vol.24 (5), p.317-321</ispartof><rights>Copyright © 2007 by Thieme Medical Publishers, Inc., 333 Seventh Avenue, New York, NY 10001, USA.</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c328t-e96a9dcf9fd9b9857926a76c3e1ef720725984d537e9182a0e64ee61073e82113</citedby></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://www.thieme-connect.de/products/ejournals/pdf/10.1055/s-2007-981433.pdf$$EPDF$$P50$$Gthieme$$H</linktopdf><linktohtml>$$Uhttps://www.thieme-connect.de/products/ejournals/html/10.1055/s-2007-981433$$EHTML$$P50$$Gthieme$$H</linktohtml><link.rule.ids>315,781,785,3018,3019,27928,27929,54563,54564</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/17516310$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Craver Pryor, Elizabeth</creatorcontrib><creatorcontrib>Mertz, Heather L</creatorcontrib><creatorcontrib>Beaver, Brittian W</creatorcontrib><creatorcontrib>Koontz, Gretchen</creatorcontrib><creatorcontrib>Martinez-Borges, Anibal</creatorcontrib><creatorcontrib>Smith, Jennifer G</creatorcontrib><creatorcontrib>Merrill, David</creatorcontrib><title>Intrapartum Predictors of Uterine Rupture</title><title>American journal of perinatology</title><addtitle>Amer J Perinatol</addtitle><description>ABSTRACT
This case-controlled study reviewed 26 cases of uterine rupture at an academic medical center. Controls were selected in a 2:1 design by reviewing the immediate successful vaginal birth after cesarean delivery (VBAC) before and after each case of uterine rupture. At less than 2 hours before delivery or acute uterine rupture, mild and severe variable decelerations, persistent abdominal pain, and hyperstimulation were more common in cases of uterine rupture as compared to controls and had statistically significant positive likelihood ratios (LR). Mild and severe variable fetal heart rate decelerations, especially in the presence of persistent abdominal pain, may predict uterine rupture in patients attempting VBAC.</description><subject>Academic Medical Centers</subject><subject>Adult</subject><subject>Case-Control Studies</subject><subject>Female</subject><subject>Heart Rate, Fetal</subject><subject>Humans</subject><subject>Medical Records</subject><subject>North Carolina - epidemiology</subject><subject>Pregnancy</subject><subject>Pregnancy Outcome</subject><subject>Prenatal Diagnosis</subject><subject>Retrospective Studies</subject><subject>Risk Factors</subject><subject>Uterine Rupture - diagnosis</subject><subject>Uterine Rupture - etiology</subject><subject>Uterine Rupture - physiopathology</subject><subject>Vaginal Birth after Cesarean</subject><issn>0735-1631</issn><issn>1098-8785</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2007</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNp1kEtLAzEUhYMoWqtLtzIrQTB6k0wmyVKKj0JBEbsO6cwdnNJ5mMfCf--UKbhydeHycTjnI-SKwT0DKR8C5QCKGs1yIY7IjIHRVCstj8kMlJCUFYKdkfMQtgCMa9Cn5IwpuX_DjNwuu-jd4HxMbfbusWrK2PuQ9XW2juibDrOPNMTk8YKc1G4X8PJw52T9_PS5eKWrt5fl4nFFS8F1pGgKZ6qyNnVlNkZLZXjhVFEKZFgrDopLo_NKCoWGae4AixyxYGNX1JwxMSc3U-7g---EIdq2CSXudq7DPgWrxtUgchhBOoGl70PwWNvBN63zP5aB3buxwe7d2MnNyF8fgtOmxeqPPsgYgbsJiF8Ntmi3ffLdOPWfvF-3sWrp</recordid><startdate>200705</startdate><enddate>200705</enddate><creator>Craver Pryor, Elizabeth</creator><creator>Mertz, Heather L</creator><creator>Beaver, Brittian W</creator><creator>Koontz, Gretchen</creator><creator>Martinez-Borges, Anibal</creator><creator>Smith, Jennifer G</creator><creator>Merrill, David</creator><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope></search><sort><creationdate>200705</creationdate><title>Intrapartum Predictors of Uterine Rupture</title><author>Craver Pryor, Elizabeth ; Mertz, Heather L ; Beaver, Brittian W ; Koontz, Gretchen ; Martinez-Borges, Anibal ; Smith, Jennifer G ; Merrill, David</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c328t-e96a9dcf9fd9b9857926a76c3e1ef720725984d537e9182a0e64ee61073e82113</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2007</creationdate><topic>Academic Medical Centers</topic><topic>Adult</topic><topic>Case-Control Studies</topic><topic>Female</topic><topic>Heart Rate, Fetal</topic><topic>Humans</topic><topic>Medical Records</topic><topic>North Carolina - epidemiology</topic><topic>Pregnancy</topic><topic>Pregnancy Outcome</topic><topic>Prenatal Diagnosis</topic><topic>Retrospective Studies</topic><topic>Risk Factors</topic><topic>Uterine Rupture - diagnosis</topic><topic>Uterine Rupture - etiology</topic><topic>Uterine Rupture - physiopathology</topic><topic>Vaginal Birth after Cesarean</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Craver Pryor, Elizabeth</creatorcontrib><creatorcontrib>Mertz, Heather L</creatorcontrib><creatorcontrib>Beaver, Brittian W</creatorcontrib><creatorcontrib>Koontz, Gretchen</creatorcontrib><creatorcontrib>Martinez-Borges, Anibal</creatorcontrib><creatorcontrib>Smith, Jennifer G</creatorcontrib><creatorcontrib>Merrill, David</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><jtitle>American journal of perinatology</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Craver Pryor, Elizabeth</au><au>Mertz, Heather L</au><au>Beaver, Brittian W</au><au>Koontz, Gretchen</au><au>Martinez-Borges, Anibal</au><au>Smith, Jennifer G</au><au>Merrill, David</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Intrapartum Predictors of Uterine Rupture</atitle><jtitle>American journal of perinatology</jtitle><addtitle>Amer J Perinatol</addtitle><date>2007-05</date><risdate>2007</risdate><volume>24</volume><issue>5</issue><spage>317</spage><epage>321</epage><pages>317-321</pages><issn>0735-1631</issn><eissn>1098-8785</eissn><abstract>ABSTRACT
This case-controlled study reviewed 26 cases of uterine rupture at an academic medical center. Controls were selected in a 2:1 design by reviewing the immediate successful vaginal birth after cesarean delivery (VBAC) before and after each case of uterine rupture. At less than 2 hours before delivery or acute uterine rupture, mild and severe variable decelerations, persistent abdominal pain, and hyperstimulation were more common in cases of uterine rupture as compared to controls and had statistically significant positive likelihood ratios (LR). Mild and severe variable fetal heart rate decelerations, especially in the presence of persistent abdominal pain, may predict uterine rupture in patients attempting VBAC.</abstract><cop>United States</cop><pmid>17516310</pmid><doi>10.1055/s-2007-981433</doi><tpages>5</tpages></addata></record> |
| fulltext | fulltext |
| identifier | ISSN: 0735-1631 |
| ispartof | American journal of perinatology, 2007-05, Vol.24 (5), p.317-321 |
| issn | 0735-1631 1098-8785 |
| language | eng |
| recordid | cdi_proquest_miscellaneous_70550340 |
| source | MEDLINE; Thieme Connect Journals |
| subjects | Academic Medical Centers Adult Case-Control Studies Female Heart Rate, Fetal Humans Medical Records North Carolina - epidemiology Pregnancy Pregnancy Outcome Prenatal Diagnosis Retrospective Studies Risk Factors Uterine Rupture - diagnosis Uterine Rupture - etiology Uterine Rupture - physiopathology Vaginal Birth after Cesarean |
| title | Intrapartum Predictors of Uterine Rupture |
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