Document Detail

Management of unscarred ruptured uterus.
MedLine Citation:
PMID:  12951891     Owner:  NLM     Status:  MEDLINE    
AIMS AND OBJECTIVES: Rupture of an unscarred gravid uterus is a rare and dangerous event. We carried out a postal questionnaire survey of the Fellows of the Royal College of Obstetricians and Gynaecologists (United Kingdom), to ascertain the past and present management policies in such an event. 210 Fellows responded (43.5%) and 85 of them managed at least one case of uterine rupture in previously unscarred gravid uterus.
RESULTS: A total of 108 cases were reported of which 74 (68.5%) were diagnosed during labor. The tear was repaired and the uterus conserved in 56.5% cases. Maternal mortality was 10.2% (95% CI 5.2, 17.5) and perinatal mortality was 34.3% (95% CI 25.4, 44). When asked how they would manage such a case in the absence of life threatening circumstances in future, 80.8% of Fellows would opt for uterine repair. Fellows with previous hands-on experience of uterine rupture would involve urologists more often in operative management (22% v 8%, OR 3.4, 95% CI 1.2, 10.1). 48% of Fellows felt that in-patient management is indicated in subsequent pregnancies and 91% would perform an elective cesarean section in subsequent pregnancy.
Dharmesh S Kapoor; Sanjeev D Sharma; Zarko Alfirevic
Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  Journal of perinatal medicine     Volume:  31     ISSN:  0300-5577     ISO Abbreviation:  J Perinat Med     Publication Date:  2003  
Date Detail:
Created Date:  2003-09-03     Completed Date:  2003-12-11     Revised Date:  2013-05-20    
Medline Journal Info:
Nlm Unique ID:  0361031     Medline TA:  J Perinat Med     Country:  Germany    
Other Details:
Languages:  eng     Pagination:  337-9     Citation Subset:  IM    
Department of Obstetrics and Gynecology, Liverpool Women's Hospital, Liverpool, U.K.
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MeSH Terms
Great Britain / epidemiology
Hysterectomy / statistics & numerical data
Maternal Mortality
Obstetrics / statistics & numerical data
Pregnancy Outcome
Uterine Rupture / diagnosis,  epidemiology*,  surgery*
Uterus / surgery

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