Risk factors associated with uterine rupture during trial of labor after cesarean delivery: A case-control study
OBJECTIVE: The purpose of our study was to thoroughly investigate the risk factors of uterine rupture in patients undergoing trial of labor after cesarean section. STUDY DESIGN: We conducted a case-control study of 70 patients with prior cesarean delivery with uterine rupture during trial of labor b...
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| Veröffentlicht in: | American journal of obstetrics and gynecology 1993-05, Vol.168 (5), p.1358-1363 |
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| container_title | American journal of obstetrics and gynecology |
| container_volume | 168 |
| creator | Leung, Anna S. Farmer, Richard M. Leung, Eleanor K. Medearis, Arnold L. Paul, Richard H. |
| description | OBJECTIVE: The purpose of our study was to thoroughly investigate the risk factors of uterine rupture in patients undergoing trial of labor after cesarean section.
STUDY DESIGN: We conducted a case-control study of 70 patients with prior cesarean delivery with uterine rupture during trial of labor between January 1983 and June 1990. The risk factors of uterine rupture were identified, and the estimates of the relative risks were reported.
RESULTS: The risk of uterine rupture was increased in patients who had an excessive amount of oxytocin, who had exeprienced dysfunctional labor, and who had a history of two or more cesarean deliveries. Epidural anesthesia, macrosomia, history of successful vaginal delivery after cesarean section, unknown uterine scar, and history of cesarean delivery because of cephalopelvic disproportion were not associated with uterine rupture.
CONCLUSIONS: We recommend that all patients with a history of cesarean delivery be observed closely for progression of labor. Recognition of an active-phase arrest disorder, despite adequate augmentation with oxytocin, requires operative delivery. |
| doi_str_mv | 10.1016/S0002-9378(11)90765-0 |
| format | Article |
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STUDY DESIGN: We conducted a case-control study of 70 patients with prior cesarean delivery with uterine rupture during trial of labor between January 1983 and June 1990. The risk factors of uterine rupture were identified, and the estimates of the relative risks were reported.
RESULTS: The risk of uterine rupture was increased in patients who had an excessive amount of oxytocin, who had exeprienced dysfunctional labor, and who had a history of two or more cesarean deliveries. Epidural anesthesia, macrosomia, history of successful vaginal delivery after cesarean section, unknown uterine scar, and history of cesarean delivery because of cephalopelvic disproportion were not associated with uterine rupture.
CONCLUSIONS: We recommend that all patients with a history of cesarean delivery be observed closely for progression of labor. Recognition of an active-phase arrest disorder, despite adequate augmentation with oxytocin, requires operative delivery.</description><identifier>ISSN: 0002-9378</identifier><identifier>EISSN: 1097-6868</identifier><identifier>DOI: 10.1016/S0002-9378(11)90765-0</identifier><identifier>PMID: 8498412</identifier><identifier>CODEN: AJOGAH</identifier><language>eng</language><publisher>Philadelphia, PA: Mosby, Inc</publisher><subject>Biological and medical sciences ; Case-Control Studies ; Cervix Uteri - physiology ; Cesarean Section ; Delivery. Postpartum. Lactation ; Disorders ; dysfunctional labor ; Female ; Gynecology. Andrology. Obstetrics ; Humans ; Logistic Models ; Medical sciences ; Odds Ratio ; oxytocin ; Oxytocin - administration & dosage ; Pregnancy ; Risk ; Risk Factors ; Trial of Labor ; uterine rupture ; Uterine Rupture - epidemiology ; Uterine Rupture - etiology</subject><ispartof>American journal of obstetrics and gynecology, 1993-05, Vol.168 (5), p.1358-1363</ispartof><rights>1993 Mosby</rights><rights>1993 INIST-CNRS</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c441t-eff7b571b2acd2f48ec921a477a04b9f87a2fd44ead8f9c560ed4cf647a493a33</citedby><cites>FETCH-LOGICAL-c441t-eff7b571b2acd2f48ec921a477a04b9f87a2fd44ead8f9c560ed4cf647a493a33</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktohtml>$$Uhttps://www.sciencedirect.com/science/article/pii/S0002937811907650$$EHTML$$P50$$Gelsevier$$H</linktohtml><link.rule.ids>309,310,314,776,780,785,786,3537,23909,23910,25118,27901,27902,65306</link.rule.ids><backlink>$$Uhttp://pascal-francis.inist.fr/vibad/index.php?action=getRecordDetail&idt=4782872$$DView record in Pascal Francis$$Hfree_for_read</backlink><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/8498412$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Leung, Anna S.</creatorcontrib><creatorcontrib>Farmer, Richard M.</creatorcontrib><creatorcontrib>Leung, Eleanor K.</creatorcontrib><creatorcontrib>Medearis, Arnold L.</creatorcontrib><creatorcontrib>Paul, Richard H.</creatorcontrib><title>Risk factors associated with uterine rupture during trial of labor after cesarean delivery: A case-control study</title><title>American journal of obstetrics and gynecology</title><addtitle>Am J Obstet Gynecol</addtitle><description>OBJECTIVE: The purpose of our study was to thoroughly investigate the risk factors of uterine rupture in patients undergoing trial of labor after cesarean section.
STUDY DESIGN: We conducted a case-control study of 70 patients with prior cesarean delivery with uterine rupture during trial of labor between January 1983 and June 1990. The risk factors of uterine rupture were identified, and the estimates of the relative risks were reported.
RESULTS: The risk of uterine rupture was increased in patients who had an excessive amount of oxytocin, who had exeprienced dysfunctional labor, and who had a history of two or more cesarean deliveries. Epidural anesthesia, macrosomia, history of successful vaginal delivery after cesarean section, unknown uterine scar, and history of cesarean delivery because of cephalopelvic disproportion were not associated with uterine rupture.
CONCLUSIONS: We recommend that all patients with a history of cesarean delivery be observed closely for progression of labor. Recognition of an active-phase arrest disorder, despite adequate augmentation with oxytocin, requires operative delivery.</description><subject>Biological and medical sciences</subject><subject>Case-Control Studies</subject><subject>Cervix Uteri - physiology</subject><subject>Cesarean Section</subject><subject>Delivery. Postpartum. Lactation</subject><subject>Disorders</subject><subject>dysfunctional labor</subject><subject>Female</subject><subject>Gynecology. Andrology. Obstetrics</subject><subject>Humans</subject><subject>Logistic Models</subject><subject>Medical sciences</subject><subject>Odds Ratio</subject><subject>oxytocin</subject><subject>Oxytocin - administration & dosage</subject><subject>Pregnancy</subject><subject>Risk</subject><subject>Risk Factors</subject><subject>Trial of Labor</subject><subject>uterine rupture</subject><subject>Uterine Rupture - epidemiology</subject><subject>Uterine Rupture - etiology</subject><issn>0002-9378</issn><issn>1097-6868</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>1993</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNqFkE2LFDEQhoMo6-zqT1jIQUQPrUlPupN4WZbFVWFB8OMcqpOKRns6Yyq9Mv_enp1hrp6Kl3rqg4exSyneSCH7t1-FEG1j19q8kvK1FbrvGvGIraSwuulNbx6z1Ql5ys6Jfu1ja9szdmaUNUq2K7b9kug3j-BrLsSBKPsEFQP_m-pPPlcsaUJe5m2dC_IwL_EHryXByHPkIwy5cIgLxj0SFISJBxzTPZbdO37NPRA2Pk-15JFTncPuGXsSYSR8fqwX7Pvt-283H5u7zx8-3VzfNV4pWRuMUQ-dlkMLPrRRGfS2laC0BqEGG42GNgalEIKJ1ne9wKB87JUGZdewXl-wl4e925L_zEjVbRJ5HEeYMM_kdKc7schYwO4A-pKJCka3LWkDZeekcHvT7sG022t0UroH004sc5fHA_OwwXCaOqpd-i-OfSAPYyww-UQnTGnTGr3Hrg4YLjLuExZHPuHkMaSCvrqQ038e-QeYxJzS</recordid><startdate>19930501</startdate><enddate>19930501</enddate><creator>Leung, Anna S.</creator><creator>Farmer, Richard M.</creator><creator>Leung, Eleanor K.</creator><creator>Medearis, Arnold L.</creator><creator>Paul, Richard H.</creator><general>Mosby, Inc</general><general>Elsevier</general><scope>IQODW</scope><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>19930501</creationdate><title>Risk factors associated with uterine rupture during trial of labor after cesarean delivery: A case-control study</title><author>Leung, Anna S. ; Farmer, Richard M. ; Leung, Eleanor K. ; Medearis, Arnold L. ; Paul, Richard H.</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c441t-eff7b571b2acd2f48ec921a477a04b9f87a2fd44ead8f9c560ed4cf647a493a33</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>1993</creationdate><topic>Biological and medical sciences</topic><topic>Case-Control Studies</topic><topic>Cervix Uteri - physiology</topic><topic>Cesarean Section</topic><topic>Delivery. Postpartum. Lactation</topic><topic>Disorders</topic><topic>dysfunctional labor</topic><topic>Female</topic><topic>Gynecology. Andrology. Obstetrics</topic><topic>Humans</topic><topic>Logistic Models</topic><topic>Medical sciences</topic><topic>Odds Ratio</topic><topic>oxytocin</topic><topic>Oxytocin - administration & dosage</topic><topic>Pregnancy</topic><topic>Risk</topic><topic>Risk Factors</topic><topic>Trial of Labor</topic><topic>uterine rupture</topic><topic>Uterine Rupture - epidemiology</topic><topic>Uterine Rupture - etiology</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Leung, Anna S.</creatorcontrib><creatorcontrib>Farmer, Richard M.</creatorcontrib><creatorcontrib>Leung, Eleanor K.</creatorcontrib><creatorcontrib>Medearis, Arnold L.</creatorcontrib><creatorcontrib>Paul, Richard H.</creatorcontrib><collection>Pascal-Francis</collection><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 obstetrics and gynecology</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Leung, Anna S.</au><au>Farmer, Richard M.</au><au>Leung, Eleanor K.</au><au>Medearis, Arnold L.</au><au>Paul, Richard H.</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Risk factors associated with uterine rupture during trial of labor after cesarean delivery: A case-control study</atitle><jtitle>American journal of obstetrics and gynecology</jtitle><addtitle>Am J Obstet Gynecol</addtitle><date>1993-05-01</date><risdate>1993</risdate><volume>168</volume><issue>5</issue><spage>1358</spage><epage>1363</epage><pages>1358-1363</pages><issn>0002-9378</issn><eissn>1097-6868</eissn><coden>AJOGAH</coden><abstract>OBJECTIVE: The purpose of our study was to thoroughly investigate the risk factors of uterine rupture in patients undergoing trial of labor after cesarean section.
STUDY DESIGN: We conducted a case-control study of 70 patients with prior cesarean delivery with uterine rupture during trial of labor between January 1983 and June 1990. The risk factors of uterine rupture were identified, and the estimates of the relative risks were reported.
RESULTS: The risk of uterine rupture was increased in patients who had an excessive amount of oxytocin, who had exeprienced dysfunctional labor, and who had a history of two or more cesarean deliveries. Epidural anesthesia, macrosomia, history of successful vaginal delivery after cesarean section, unknown uterine scar, and history of cesarean delivery because of cephalopelvic disproportion were not associated with uterine rupture.
CONCLUSIONS: We recommend that all patients with a history of cesarean delivery be observed closely for progression of labor. Recognition of an active-phase arrest disorder, despite adequate augmentation with oxytocin, requires operative delivery.</abstract><cop>Philadelphia, PA</cop><pub>Mosby, Inc</pub><pmid>8498412</pmid><doi>10.1016/S0002-9378(11)90765-0</doi><tpages>6</tpages></addata></record> |
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| identifier | ISSN: 0002-9378 |
| ispartof | American journal of obstetrics and gynecology, 1993-05, Vol.168 (5), p.1358-1363 |
| issn | 0002-9378 1097-6868 |
| language | eng |
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| source | MEDLINE; Elsevier ScienceDirect Journals |
| subjects | Biological and medical sciences Case-Control Studies Cervix Uteri - physiology Cesarean Section Delivery. Postpartum. Lactation Disorders dysfunctional labor Female Gynecology. Andrology. Obstetrics Humans Logistic Models Medical sciences Odds Ratio oxytocin Oxytocin - administration & dosage Pregnancy Risk Risk Factors Trial of Labor uterine rupture Uterine Rupture - epidemiology Uterine Rupture - etiology |
| title | Risk factors associated with uterine rupture during trial of labor after cesarean delivery: A case-control study |
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