Uterine rupture and scar dehiscence. A five-year survey.

Abstract:

:A review of the medical records from two public hospitals in Sydney was undertaken to determine the incidence of this uncommon complication. Twenty-seven cases of uterine rupture were reported out of 31,115 deliveries with an incidence of 0.086% (versus 0.05% in the current literature). The incidence associated with previous caesarean section was 0.038% (versus 0.8% in the current literature). Predisposing and associated factors in this review were similar to those reported by others. There was no maternal mortality in our series but the fetal mortality rate was 5 out of 27 cases. Uterine ruptures in the midtrimester were associated with high rates of maternal morbidity and fetal loss. Forty-eight per cent of patients with uterine rupture received epidural analgesia. The associated factors and outcomes are discussed. The current literature is reviewed in relation to this high-risk group of patients.

journal_name

Anaesth Intensive Care

authors

Lynch JC,Pardy JP

doi

10.1177/0310057X9602400612

subject

Has Abstract

pub_date

1996-12-01 00:00:00

pages

699-704

issue

6

eissn

0310-057X

issn

1448-0271

pii

1996021

journal_volume

24

pub_type

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