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 Perinatoljournal_title
American journal of perinatologyauthors
Craver Pryor E,Mertz HL,Beaver BW,Koontz G,Martinez-Borges A,Smith JG,Merrill Ddoi
10.1055/s-2007-981433subject
Has Abstractpub_date
2007-05-01 00:00:00pages
317-21issue
5eissn
0735-1631issn
1098-8785journal_volume
24pub_type
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