Pregnancy outcomes and associated factors for uterine rupture: an 8 years population-based retrospective study
Abstract Background Uterine rupture is an obstetrical emergency with serious undesired complications for laboring mothers resulting in fatal maternal and neonatal outcomes. The aim of this study was to assess the incidence of uterine rupture, its association with previous uterine surgery and vaginal...
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| Format: | Article |
| Language: | English |
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BMC
2022-02-01
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| Series: | BMC Pregnancy and Childbirth |
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| Online Access: | https://doi.org/10.1186/s12884-022-04415-6 |
| _version_ | 1798023859735101440 |
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| author | Sheng Wan Mengnan Yang Jindan Pei Xiaobo Zhao Chenchen Zhou Yuelin Wu Qianqian Sun Guizhu Wu Xiaolin Hua |
| author_facet | Sheng Wan Mengnan Yang Jindan Pei Xiaobo Zhao Chenchen Zhou Yuelin Wu Qianqian Sun Guizhu Wu Xiaolin Hua |
| author_sort | Sheng Wan |
| collection | DOAJ |
| description | Abstract Background Uterine rupture is an obstetrical emergency with serious undesired complications for laboring mothers resulting in fatal maternal and neonatal outcomes. The aim of this study was to assess the incidence of uterine rupture, its association with previous uterine surgery and vaginal birth after caesarean section (VBAC), and the maternal and perinatal implications. Methods This is a population-based retrospective study. All pregnant women treated for ruptured uterus in one center between 2013 and 2020 were included. Their information retrieved from the medical records department were reviewed retrospectively. Results A total of 209,112 deliveries were included and 41 cases of uterine rupture were identified. The incidence of uterine rupture was 1.96/10000 births. Among the 41 cases, 16 (39.0%) had maternal and fetal complications. There were no maternal deaths secondary to uterine rupture, while perinatal fatality related to uterine rupture was 7.3%. Among all cases, 38 (92.7%) were scarred uterus and 3 (7.3%) were unscarred uterus. The most common cause of uterine rupture was previous cesarean section, while cases with a history of laparoscopic myomectomy were more likely to have serious adverse outcomes, such as fetal death. 24 (59.0%) of the ruptures occurred in anterior lower uterine segment. Changes in Fetal heart rate monitoring were the most reliable signs for rupture. Conclusions Incidence of uterine rupture in the study area, Shanghai, China was consistent with developed countries. Further improvements in obstetric care and enhanced collaboration with referring health facilities were needed to ensure maternal and perinatal safety. |
| first_indexed | 2024-04-11T17:53:21Z |
| format | Article |
| id | doaj.art-848f0fde78f5419c8d3dd94be1ed1e7c |
| institution | Directory Open Access Journal |
| issn | 1471-2393 |
| language | English |
| last_indexed | 2024-04-11T17:53:21Z |
| publishDate | 2022-02-01 |
| publisher | BMC |
| record_format | Article |
| series | BMC Pregnancy and Childbirth |
| spelling | doaj.art-848f0fde78f5419c8d3dd94be1ed1e7c2022-12-22T04:10:59ZengBMCBMC Pregnancy and Childbirth1471-23932022-02-012211910.1186/s12884-022-04415-6Pregnancy outcomes and associated factors for uterine rupture: an 8 years population-based retrospective studySheng Wan0Mengnan Yang1Jindan Pei2Xiaobo Zhao3Chenchen Zhou4Yuelin Wu5Qianqian Sun6Guizhu Wu7Xiaolin Hua8Department of Obstetrics, Shanghai First Maternity and infant hospital, Shanghai Tongji University School of MedicineDepartment of Obstetrics, Shanghai First Maternity and infant hospital, Shanghai Tongji University School of MedicineDepartment of Obstetrics, Shanghai First Maternity and infant hospital, Shanghai Tongji University School of MedicineDepartment of Obstetrics, Shanghai First Maternity and infant hospital, Shanghai Tongji University School of MedicineDepartment of Obstetrics, Shanghai First Maternity and infant hospital, Shanghai Tongji University School of MedicineDepartment of Obstetrics, Shanghai First Maternity and infant hospital, Shanghai Tongji University School of MedicineDepartment of Obstetrics, Shanghai First Maternity and infant hospital, Shanghai Tongji University School of MedicineDepartment of Gynecology, Shanghai First Maternity and infant hospital, Shanghai Tongji University School of MedicineDepartment of Obstetrics, Shanghai First Maternity and infant hospital, Shanghai Tongji University School of MedicineAbstract Background Uterine rupture is an obstetrical emergency with serious undesired complications for laboring mothers resulting in fatal maternal and neonatal outcomes. The aim of this study was to assess the incidence of uterine rupture, its association with previous uterine surgery and vaginal birth after caesarean section (VBAC), and the maternal and perinatal implications. Methods This is a population-based retrospective study. All pregnant women treated for ruptured uterus in one center between 2013 and 2020 were included. Their information retrieved from the medical records department were reviewed retrospectively. Results A total of 209,112 deliveries were included and 41 cases of uterine rupture were identified. The incidence of uterine rupture was 1.96/10000 births. Among the 41 cases, 16 (39.0%) had maternal and fetal complications. There were no maternal deaths secondary to uterine rupture, while perinatal fatality related to uterine rupture was 7.3%. Among all cases, 38 (92.7%) were scarred uterus and 3 (7.3%) were unscarred uterus. The most common cause of uterine rupture was previous cesarean section, while cases with a history of laparoscopic myomectomy were more likely to have serious adverse outcomes, such as fetal death. 24 (59.0%) of the ruptures occurred in anterior lower uterine segment. Changes in Fetal heart rate monitoring were the most reliable signs for rupture. Conclusions Incidence of uterine rupture in the study area, Shanghai, China was consistent with developed countries. Further improvements in obstetric care and enhanced collaboration with referring health facilities were needed to ensure maternal and perinatal safety.https://doi.org/10.1186/s12884-022-04415-6Uterine ruptureCesarean sectionVBACMaternal and neonatal outcomeRisk factors |
| spellingShingle | Sheng Wan Mengnan Yang Jindan Pei Xiaobo Zhao Chenchen Zhou Yuelin Wu Qianqian Sun Guizhu Wu Xiaolin Hua Pregnancy outcomes and associated factors for uterine rupture: an 8 years population-based retrospective study BMC Pregnancy and Childbirth Uterine rupture Cesarean section VBAC Maternal and neonatal outcome Risk factors |
| title | Pregnancy outcomes and associated factors for uterine rupture: an 8 years population-based retrospective study |
| title_full | Pregnancy outcomes and associated factors for uterine rupture: an 8 years population-based retrospective study |
| title_fullStr | Pregnancy outcomes and associated factors for uterine rupture: an 8 years population-based retrospective study |
| title_full_unstemmed | Pregnancy outcomes and associated factors for uterine rupture: an 8 years population-based retrospective study |
| title_short | Pregnancy outcomes and associated factors for uterine rupture: an 8 years population-based retrospective study |
| title_sort | pregnancy outcomes and associated factors for uterine rupture an 8 years population based retrospective study |
| topic | Uterine rupture Cesarean section VBAC Maternal and neonatal outcome Risk factors |
| url | https://doi.org/10.1186/s12884-022-04415-6 |
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