Document Detail

Uterine Rupture With Attempted Vaginal Birth After Cesarean Delivery: Decision-to-Delivery Time and Neonatal Outcome.
MedLine Citation:
PMID:  22433335     Owner:  NLM     Status:  In-Data-Review    
OBJECTIVE: : To estimate the time from the diagnosis of uterine rupture to delivery that would prevent adverse neonatal sequelae.
METHODS: : Cases of uterine rupture from January 1, 2000, to December 31, 2009, were identified in nine hospitals in the Intermountain Health Care system and at the University of Utah. Maternal demographics, labor characteristics, and neonatal outcomes were obtained. Primary adverse outcome was abnormal umbilical artery pH level less than 7.0 or 5-minute Apgar score less than 7. Adverse secondary outcome included fetal or neonatal death and neonatal neurologic injury attributed to uterine rupture.
RESULTS: : Thirty-six cases of uterine rupture occurred during 11,195 trials of labor after cesarean delivery. Signs of uterine rupture were fetal (n=24), maternal (n=8), or a combination of maternal and fetal (n=3). In one case, uterine rupture was not suspected. Mean time to delivery from the onset of symptoms or signs for the primary adverse outcome group (n=13) was 23.3 (±10.8) minutes compared with 16.0 (±7.7) minutes for those without an adverse outcome (P=.02). No neonate delivered in fewer than 18 minutes had an umbilical pH level below 7.0. Three neonates delivered at more than 30 minutes met criteria for an adverse secondary outcome.
CONCLUSION: : The frequency of uterine rupture was 0.32% in patients attempting a trial of labor after cesarean delivery. Neonates delivered within 18 minutes after a suspected uterine rupture had normal umbilical pH levels or 5-minute Apgar scores greater than 7. Poor long-term outcome occurred in three neonates with a decision-to-delivery time longer than 30 minutes.
Calla Holmgren; James R Scott; T Flint Porter; M Sean Esplin; Tyler Bardsley
Related Documents :
11992875 - Atypical choroidal neovascularization in radiation retinopathy.
22486575 - Mid-gestation pregnancy is not disrupted by a 5-day gastrointestinal mucosal cytoprotec...
9347405 - Changes in fat-free mass and fat mass in postpartum women: a comparison of body composi...
14739545 - Csf lactate dehydrogenase activity in patients with creutzfeldt-jakob disease exceeds t...
22464405 - Clinical diagnosis of completeness of medical abortion by nurses: a reliability study i...
17678905 - Laparoscopic management of early primary omental pregnancy.
Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  Obstetrics and gynecology     Volume:  119     ISSN:  1873-233X     ISO Abbreviation:  Obstet Gynecol     Publication Date:  2012 Apr 
Date Detail:
Created Date:  2012-03-21     Completed Date:  -     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  0401101     Medline TA:  Obstet Gynecol     Country:  United States    
Other Details:
Languages:  eng     Pagination:  725-31     Citation Subset:  AIM; IM    
From the Department of Obstetrics and Gynecology, University of Utah Medical Center, and Intermountain Health Care, Salt Lake City, Utah.
Export Citation:
APA/MLA Format     Download EndNote     Download BibTex
MeSH Terms

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine

Previous Document:  Outcomes and cost comparisons after introducing a robotics program for endometrial cancer surgery.
Next Document:  Normal first stage of labor in women undergoing trial of labor after cesarean delivery.