Document Detail

Uterine rupture during VBAC trial of labor: risk factors and fetal response.
MedLine Citation:
PMID:  12867909     Owner:  NLM     Status:  MEDLINE    
For the woman with a prior uterine scar, neither repeat elective cesarean birth nor vaginal birth after cesarean birth (VBAC) trial of labor (TOL) is risk-free. When VBAC-TOL is successful, it is associated with less morbidity than repeat cesarean birth. However, when VBAC-TOL fails due to uterine rupture, severe consequences often ensue. The challenge for clinicians today is to provide women who desire TOL after cesarean birth, a more individualized risk assessment of uterine rupture, thereby enhancing success and optimizing outcome. This article examines major risk factors for uterine rupture during VBAC-TOL. In addition, fetal response to uterine rupture and neonatal outcomes are reviewed.
Nancy O'brien-Abel
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Publication Detail:
Type:  Journal Article; Review    
Journal Detail:
Title:  Journal of midwifery & women's health     Volume:  48     ISSN:  1526-9523     ISO Abbreviation:  J Midwifery Womens Health     Publication Date:    2003 Jul-Aug
Date Detail:
Created Date:  2003-07-17     Completed Date:  2003-08-18     Revised Date:  2005-11-16    
Medline Journal Info:
Nlm Unique ID:  100909407     Medline TA:  J Midwifery Womens Health     Country:  United States    
Other Details:
Languages:  eng     Pagination:  249-57     Citation Subset:  IM; N    
Department of Obstetrics and Gynecology, Division of Maternal and Fetal Medicine, University of Washington School of Medicine, Seattle, WA 98195-6460, USA.
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MeSH Terms
Heart Rate, Fetal
Labor, Induced / adverse effects,  methods*,  nursing
Midwifery / methods*
Oxytocics / administration & dosage,  adverse effects
Pregnancy Outcome
Risk Factors
Trial of Labor*
United States
Uterine Rupture* / chemically induced,  nursing,  prevention & control
Vaginal Birth after Cesarean* / adverse effects,  methods,  nursing
Reg. No./Substance:

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

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