A 10-year population-based study of uterine rupture

作者: K Kieser

DOI: 10.1016/S0029-7844(02)02161-0

关键词: Incidence (epidemiology)UterusPopulationSurgeryVaginal deliveryDehiscenceRisk factorBlood transfusionObstetricsUterine ruptureMedicineObstetrics and gynaecology

摘要: Abstract Objective: To review the incidence, associated factors, and morbidity with uterine rupture. Methods: A 10-year (1988–1997) population-based of 114,933 deliveries in one province. Results: There were 39 ruptures: 16 complete 23 dehiscence. Thirty-seven cases had undergone a previous cesarean delivery (34 lower transverse, 2 classical, 1 low vertical). Of deliveries, 11,585 (10%) to women delivery. The incidence rupture those undergoing trial for vaginal (4,516) was (3/1000) dehiscence (5/1000). Induction or augmentation labor oxytocics 50% ruptures 25% no maternal deaths, but 33% patients required blood transfusion. neonatal death attributable Conclusion: are confirmed as risk factors Fetal heart rate abnormality most reliable diagnostic aid. Serious perinatal relatively low.

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