Intrapartum predictors of uterine rupture.

Abstract:

:This case-controlled study reviewed 26 cases of uterine rupture at an academic medical center. Controls were selected in a 2:1 design by reviewing the immediate successful vaginal birth after cesarean delivery (VBAC) before and after each case of uterine rupture. At less than 2 hours before delivery or acute uterine rupture, mild and severe variable decelerations, persistent abdominal pain, and hyperstimulation were more common in cases of uterine rupture as compared to controls and had statistically significant positive likelihood ratios (LR). Mild and severe variable fetal heart rate decelerations, especially in the presence of persistent abdominal pain, may predict uterine rupture in patients attempting VBAC.

journal_name

Am J Perinatol

authors

Craver Pryor E,Mertz HL,Beaver BW,Koontz G,Martinez-Borges A,Smith JG,Merrill D

doi

10.1055/s-2007-981433

subject

Has Abstract

pub_date

2007-05-01 00:00:00

pages

317-21

issue

5

eissn

0735-1631

issn

1098-8785

journal_volume

24

pub_type

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