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Created on : 01 Feb 2006
Modified on : 01 Dec 2007

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Bibliographical entry (without author) :

Maternal and neonatal outcomes after uterine rupture in labor. AJOG, 184, p.1576

Author(s) :

Yap

Year of publication :

2001

URL(s) :

Résumé (français)  :

Abstract (English)  :

Retro chart review of all cases of uterine rupture 1976-1998. There were 38,027 deliveries; attempted VBAC rate was 61.3% with 65.3% successful. There were 21 cases of uterine rupture or scar dehiscence. (17 had Hx of prior CS -- 10 one previous CS, 3 unknown scar, 1 classical CS, 2 with 2 previous CS and one with 4 previous CS.) Of the 4 with no previous Hx of uterine surgery, one had a bicornuate uterus. 16 women had Sx of increased pain, vaginal bleeding or altered hemodynamic status. 2 patients required transfusions and 3 required hysterectomies. There were no maternal deaths. The fetal heart rate pattern in 13 cases showed bradycardia and repetitive variable or late decelerations. 2 cases of fetal or neonatal death occurred but both in markedly premature infants. The cord pH was > 7.0 in 13 infants. All live born infants were without evidence of neurologic damage at the time of20discharge. Conclusion: Relative small risk of uterine rupture. In an institution that has in-house Ob, anesthesia and surgical staff in which close monitoring of fetal and maternal well-being is available, uterine rupture does not result in major maternal morbidity or mortality or in neonatal mortality

Sumário (português)  :

Resumen (español)  :

Comments :

Fiche importée de http://www.worldserver.com/turk/birthing/rrvbac2000-4.html avec l’aide de Ken Turkowski, septembre 2005

Argument (français) :

Argument (English):

Argumento (português):

Argumento (español):

Keywords :

➡ vaginal birth after caesarean ; c-section/caesarean

Author of this record :

Ken Turkowski — 01 Feb 2006