1887
Volume 2011, Issue 2
  • ISSN: 0253-8253
  • E-ISSN: 2227-0426

Abstract

Records were reviewed of 81 cases of ruptured gravid uteri seen in the hospitals of Hamad Medical Corporation, Doha, in the 32 years 1977–2008, an overall incidence of 0.025%, although the incidence 1977–1997 was 0.01 % and that of 1998–2008 was 0.036%. Grand multiparity was a prominent cause (56.5%) in the first 21 years but less so in the later period 1998–2008 (10%) although involvement of a uterine scar from a previous caesarian section was noted more (84%) in the later period than in 1977– 1997 (43.5%). Other associated factors were the use of oxytocin or PGE2. Epidural anesthesia in the later period might have provoked abnormal fetal heart rates. The need for hysterectomy decreased from 65% to 10%. Perinatal mortality decreased slightly. Although we conclude that uterine rupture is rare (0.025%) it can be catastrophic for mother and newborn and might be prevented by multi-layer uterine hysterotomy closure, a longer interpregnancy interval following a caesarian section, and no or limited use of prostaglandins.

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2011-12-01
2019-08-17
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References

  1. [1]. Al Sakka   M., , Hamsho   A., , Khan   L. . Rupture of the Pregnant uterus –21 year review. . Int J Gynecol Obstet . 1998; ;63: : 105– 108 .
    [Google Scholar]
  2. [2]. Turner   MJ. . Uterine Rupture. . Best Pract Res Clin Obstet Gynecol . 2002; ;16: : 69– 79 .
    [Google Scholar]
  3. [3]. Guise   J., , Berlin   M., , Oserweil   P., , Chan   B., , Hlefand   M. . Safety of vaginal birth after cesarean: a systematic review. . Obstet Gynecol . 2004; ;103: : 420– 429 .
    [Google Scholar]
  4. [4]. Landon   MB., , Hauth   JC., , Leveno   KJ., , Spong   CY., , Leindecker   S., , Varner   MW. . Maternal and perinatal outcomes associated with a trial of labor after prior cesarean delivery. . N Engl J Med . 2004; ;351: : 2581– 2589 .
    [Google Scholar]
  5. [5]. Sachs   BP., , Kobelin   C., , Castro   MA., , Frigoletto   F. . The risk of lowering the cesarean-delivery rate. . N Engl J Med . 1999; ;340: 1 : 54– 57 .
    [Google Scholar]
  6. [6]. Greene   MF. . Vaginal delivery after cesarean section-is the risk acceptable?.   N Engl J Med . 2001; ;345: 1 : 54– 55 .
    [Google Scholar]
  7. [7]. Smith   GC., , Pell   JP., , Cameron   AD., , Dobbie   R. . Risk of perinatal death associated with labor after previous cesarean delivery in uncomplicated term pregnancies. . JAMA . 2002; ;287: 20 : 2684– 2690 .
    [Google Scholar]
  8. [8]. Martin   JA., , Hamilton   BE., , Sutton   PD., , Vetura   SJ., , Menacker   F., , Munson   ML. . Births: Final data for2002. . Natl Vital Stat Rep . 2003; ;52: 10 : 111– 113 .
    [Google Scholar]
  9. [9]. Thomas   J., , Paranjothy   S. . National Sentinel Caesarean Section Audit Report: Royal College of Obstetricians and Gynecologists Clinical Effectiveness Support Unit . London: : RCOG Press;   2001; .
    [Google Scholar]
  10. [10]. Canadian Perinatal Health Report: Ottawa Minister of Public Works and Government Services Canada. . 2003; ; .
  11. [11]. Clark   SL., , Koonings   PP., , Phelan   JP. . Placenta Previa/accrete and prior cesarean section. . Obstet Gynaecol . 1985; ;66: 1 : 89– 92 .
    [Google Scholar]
  12. [12]. Miller   DA., , Choilet   JA., , Goodwin   TM. . Clinical risk factors for placenta previa-placenta accrete. . Am J Obstet Gynecol . 1997; ;177: 1 : 210– 214 .
    [Google Scholar]
  13. [13]. Ananth   CV., , Smulian   JC., , Vintzileos   AM. . The association of placenta previa with history of cesarean delivery and abortion: A metaanalysis. . Am J Obstet Gynecol . 1997; ;177: 5 : 1071– 1078 .
    [Google Scholar]
  14. [14]. Lydon-Rochelle   M., , Holt   VL., , Esteringling   TR., , Martin   DP. . First-birth cesarean and placental abruption or previa at second birth (1). . Obstet Gynecol . 2001; ;97: 5 pt 1 : 765– 769 .
    [Google Scholar]
  15. [15]. Gilliam   M., , Rosenberg   D., , Davis   F. . The likelihood of placenta previa with greater number of cesarean deliveries and higher parity. . Obstet Gynecol . 2002; ;99: 6 : 976– 980 .
    [Google Scholar]
  16. [16]. AGOG Committee Opinion. Placenta accreta. Number 266, January 2002 . American College ofObstetrians and Gynecologists. . Int J Gynecol Obstet . 2002; ;77: 1 : 77– 78 .
    [Google Scholar]
  17. [17]. Gregory   KD., , Korst   LM., , Cane   P. . Vaginal birth after cesarean and uterine rupture rates in California. . Obstet Gynecol . Dec 1999; ;94: 6 : 985– 989 .
    [Google Scholar]
  18. [18]. Yap   OW., , Kim   ES., , Laros   RK Jr. . Maternal and neonatal outcomes after uterine rupture in labor. . AM J Obstet Gynecol . Jun 2001; ;184: 7 : 1576– 1581 .
    [Google Scholar]
  19. [19]. Nahum GG., , Pham KQ. . Uterine rupture in pregnancy. . Department of Obstetrics and Gynecology, Santa Valley Medical Center and Standford University Medicine, UP dated Jan 15,2008 .
  20. [20]. ACOG Practice Bulletin 54: Vaginal birth after previous cesarean , Obset Gynecol . 2004; ;104: : 203 .
    [Google Scholar]
  21. [21]. Al Sakka   M., , Dauleh   W., , Al Tamimi   H. . Our experience with vaginal PGE2 for induction of labour in Qatari six month review. . Qatar Medical Journal . Nov 2003; ;1: : 40– 43 .
    [Google Scholar]
  22. [22]. Grobman   WA., , Lai   Y., , London   MB. . Prediction of uterine rupture associated with attempted vaginal birth after cesarean delivery. . AM J Obset Gynecol . 2008; ;199: : 30 .
    [Google Scholar]
  23. [23]. Macones   GA., , Cahill   AG., , Stamilio   DM. . Can uterine rupture in patients attempting vaginal birth after cesarean delivery be predicted?.   Am J Obset Gynecol . 2006; ;195: : 1148 .
    [Google Scholar]
  24. [24]. Lando   MB., , Spong   CY., , Thorn   E. . Risk of uterine rupture with atrial of labor in women with multiple and single prior cesarean delivery. . Obset Gynecol . 2006; ;108: : 12 .
    [Google Scholar]
  25. [25]. Macones   GA., , Peipert   J., , Nelson   DB. . Maternal complications with vaginal birth after cesarean delivery: A multicenter study. . Am Obset Gynecol . 2005; ;193: : 1656 .
    [Google Scholar]
  26. [26]. Smith   GC., , Pell   JP., , Pasupathy   D., , Dobbie   R. . Factors predisposing to perinatal death related to uterine rupture during attempted vaginal birth after caesarean section: Retrospective cohort study. . BMJ . 2004; ;329: : 375 .
    [Google Scholar]
  27. [27]. McDonagh   MS., , Osterweil   P., , Guise   JM. . The benefits and risks of including labour in patients with prior caesarean delivery: A systematic review. . BJOG . 2005; ;112: : 1007 .
    [Google Scholar]
  28. [28]. Flamm   BL., , Goings   JR., , Fuelberth   NJ. . Oxytocin during labor after previous cesarean section: Resultsofa multicenter study. . Obstet Gynecol . 1987; ;70: : 709 .
    [Google Scholar]
  29. [29]. Zelop   CM., , Shipp   TD., , Repke   JT. . Uterine rupture during induced or augmented laboring gravid women with one prior cesarean delivery. . Am J Obstet Gynecol . 1999; ;181: : 882 .
    [Google Scholar]
  30. [30]. Goetzl   L., , Shipp   TD., , Cohen   A. . Oxytocin dose and the risk of uterine rupture in trial of labor after cesarean. . Obstet Gynecol . 2001; ;97: : 381 .
    [Google Scholar]
  31. [31]. Cahill   AG., , Waterman   BM., , Stamilio   DM. . Higher maximum doses of oxytocin are associated with an unacceptably high risk of uterine rupture in patients attempting vaginal birth after cesarean delivery. . Am J Obstet Gynecol . 2008; ;199: : 32 .
    [Google Scholar]
  32. [32]. Lydon-Rochelle   M., , Holt   VL., , Easterling   TR., , Martin   DP. . Risk of uterine rupture during labor among women with a prior cesarean delivery. . N Engl J Med . 2001; ;345: : 3 .
    [Google Scholar]
  33. [33]. Buhimschi   CS., , Buhimschi   IA., , Patel   S., , Malinow   AM., , Weiner   CP. . Rupture of the Uterine Scar during term labour: contradility or biochemistry?.   In'tlJ Obset Gynecol . 2004; ;112: : 38– 42 .
    [Google Scholar]
  34. [34]. Bulold   E., , Mehta   SH., , Bujold   C., , Hamilton   EE. . The impact of a singlelayer or double layer closure on uterine rupture. . Am J Obset Gynecol . 2002; ;186: : 1326 .
    [Google Scholar]
  35. [35]. Durnwald   C., , Mercer   B. . Uterine rupture, perioperative and perinatal morbidity after single-layer and double-layer closure at cesarean delivery. . Am J Obstet Gynecol . 2003; ;189: 925 .
    [Google Scholar]
  36. [36]. Shipp   TD., , Zelop   CM., , Repkeh   JT., , Cohen   A. . Interdelivery interval and risk of symptomatic uterine rupture. . Obstet Gynecol . 2001; ;97: : 175 .
    [Google Scholar]
  37. [37]. Shipp   TD., , Zelop   C., , Repkeh   JT. . The association of maternal age and symptomatic uterine rupture during a trial of labor after prior cesarean delivery. . Obstet Gynecol . 2002; ;99: : 585 .
    [Google Scholar]
  38. [38]. Rageth   JC., , Juzi   C., , Grossenbacher   H. . Delivery after previous cesarean: A risk evaluation. Swiss Working Group of Obstetric and Gynecologic Institutions. . Obstet Gynecol . 1999; ;93: : 322 .
    [Google Scholar]
  39. [39]. Liberman   E., , O'Donoghue   C. . Unintended effects of epidural analgesia during labour: A systemic review. . Am J Obstet Gynecol . 2002; ;186: : 531– 568 .
    [Google Scholar]
  40. [40]. Shipp   TD., , Zelop   C., , Cohen   A. . Post-cesarean delivery fever and uterine rupture in a subsequent trial of labor. . Obstet Gynecol . 2003; ;101: : 136 .
    [Google Scholar]
  41. [41]. Chauhan   SP., , Martin   JN Jr., , Henrichs   CE. . Maternal and perinatal complications with uterine rupture in 142,075 patients who attempted vaginal birth after cesarean delivery: A review of the literature. . Am J Obstet Gynecol . 2003; ;189: : 408 .
    [Google Scholar]
  42. [42]. Leung   AS., , Leung   EK., , Paul   RH. . Uterine rupture after previous cesarean delivery: maternal and fetal consequences. . Am J Obstet Gynecol . 1993; ;169: : 945 .
    [Google Scholar]
  43. [43]. Ridgeway   JJ., , Weyrich   DL., , Benedetti   TJ. . Fetal heart rate changes associated with uterine rupture. . Obstet Gynecol . 2004; ;103: : 506 .
    [Google Scholar]
  44. [44]. Bujold   E., , Gautheir   RJ. . Neonatal morbidity associated with uterine rupture: What are the risk factors?.   Am J obstet Gynecol . Feb 2002; ;186: 2 : 311– 314 .
    [Google Scholar]
  45. [45]. Rahman   J., , Al Sibai   MH., , Rahman   MS. . Rupture of the uterus in labor. A review of 96 cases. . Acta Obstet Gynecol Scand . 1985; ;64: 4 : 311– 315 .
    [Google Scholar]
  46. [46]. Blanchette   H., , Blanchette   M., , McCabe   J., , Vincents   S. . Is vaginal birth after cesarean safe? Experience at a community hospital. . Am J Obstet Gynecol . Jun 2001; ;184: 7 : 1478– 1484 , discussion 1478–1484; discussion 1484–1487 .
    [Google Scholar]
  47. [47]. Kieser   KE., , Baskett   TF. . A 10-year population-based study of uterine rupture. . Obset Gynecol . Oct 2002; ;100: 4 : 749– 753 .
    [Google Scholar]
  48. [48]. Al Sakka   M., , Dauleh   IN., , Hassani   S. . Case series ofuterinerupture and subsequent pregnancy outcome. . Int J FertilWomens Med . 1999; ;44: : 297 .
    [Google Scholar]
  49. [49]. Soltan   MH., , Khashoggi   T., , Adelusi   B. . Pregnancy following rupture of the pregnant uterus. . Int J Gynecol Obstet . 1996; ;52: : 37 .
    [Google Scholar]
  50. [50]. Sajjad   Y., , Sharma   SD., , Thomas   K. . Three consecutive uterine ruptures in the same woman, each with fetal survival. . BJOG . 2005; ;112: : 1105 .
    [Google Scholar]
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  • Article Type: Research Article
Keyword(s): epidural analgesia and neonatal outcome , maternal , PGE2 , previous scar , syntocinon use and Uterine rupture
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