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Database - Alliance francophone pour l'accouchement respecté (AFAR)

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https://afar.info/id=330

Created on : 07 Jan 2004
Modified on : 02 Dec 2007

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Bibliographical entry (without author) :

Rate of uterine rupture during a trial of labor in women with one or two prior cesarean deliveries. Am J Obstet Gynecol. 1999 Oct;181(4):872-6.

Author(s) :

Caughey AB, Shipp TD, Repke JT, Zelop CM, Cohen A, Lieberman E.

Year of publication :

1999

URL(s) :

http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?cmd=…

Résumé (français)  :

Abstract (English)  :

OBJECTIVE: We sought to determine whether there is a difference in the rate of symptomatic uterine rupture after a trial of labor in women who have had 1 versus 2 prior cesarean deliveries.

STUDY DESIGN: The medical records of all women with a history of either 1 or 2 prior cesarean deliveries who elected to undergo a trial of labor during a 12-year period (July 1984-June 1996) at the Brigham and Women’s Hospital were reviewed. Rates of uterine rupture were compared for these 2 groups. Potential confounding variables were controlled by using logistic regression analyses.

RESULTS: Women with 1 prior cesarean delivery (n = 3757) had a rate of uterine rupture of 0.8%, whereas women with 2 prior cesarean deliveries (n = 134) had a rate of uterine rupture of 3.7% (P =.001). In a logistic regression analysis that was controlled for maternal age, use of epidural analgesia, oxytocin induction, oxytocin augmentation, the use of prostaglandin E(2) gel, birth weight, gestational age, type of prior hysterotomy, year of trial of labor, and prior vaginal delivery, the odds ratio for uterine rupture in those patients with 2 prior cesarean deliveries was 4.8 (95% confidence interval, 1.8-13. 2)

CONCLUSIONS: Women with a history of 2 prior cesarean deliveries have an almost 5-fold greater risk of uterine rupture than those with only 1 prior cesarean delivery.

Sumário (português)  :

Comments :

Argument (français) :

Les taux de ruptures utérines dans des tentatives d’accouchement vaginal après une ou deux césariennes sont de 0.8 et 3.7% respectivement. (Période d’observation: 1984-1996)

Argument (English):

Argumento (português):

Keywords :

➡ c-section/caesarean ; induction of labor ; evidence-based medicine/midwifery ; physiology ; hormones ; duration of labour ; oxytocin ; epidural ; active management of labor ; maternal age ; post-term pregnancy

Author of this record :

Cécile Loup — 07 Jan 2004

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