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The significance of a uterine rupture in subsequent births

  • Maternal-Fetal Medicine
  • Published:
Archives of Gynecology and Obstetrics Aims and scope Submit manuscript

Abstract

Objective

To determine whether women with a previous uterine rupture have a higher risk of adverse perinatal outcome in subsequent births.

Methods

A retrospective study comparing all subsequent singleton cesarean deliveries (CD) of women with a previous uterine rupture, with CD of women with no such history, during the years 1988–2011 was conducted.

Results

Out of 34,601 singleton CD that occurred during the study period, 0.1 % (n = 46) were of women with a previous uterine rupture. Previous uterine rupture was significantly associated with preterm delivery (<37 weeks), low birth weight (<2500 g), cervical tears, and dehiscence of the uterine scar. Pregnancies following a previous uterine rupture were associated with lower Apgar scores at 5 min. However, the perinatal mortality rate did not differ between the two groups. A recurrent uterine rupture occurred in 15.2 % of patients with a previous uterine rupture.

Conclusion

Previous uterine rupture is a risk factor for adverse maternal and perinatal outcome and specifically recurrent uterine rupture. Appropriate consultation regarding these risks is needed for patients with a previous uterine rupture.

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The authors certify that no actual or potential conflict of interest in relation to this article exist.

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    Authors and Affiliations

    1. Department of Obstetrics and Gynecology, Faculty of Health Sciences, Soroka University Medical Center, Ben-Gurion University of the Negev, Beer-Sheva, Israel

      Tamar Eshkoli, Adi Yehuda Weintraub, Joel Baron & Eyal Sheiner

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    1. Tamar Eshkoli
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    2. Adi Yehuda Weintraub
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    3. Joel Baron
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    4. Eyal Sheiner
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    Correspondence to Eyal Sheiner.

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    All authors have contributed substantially to this manuscript.

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    Eshkoli, T., Weintraub, A.Y., Baron, J. et al. The significance of a uterine rupture in subsequent births. Arch Gynecol Obstet 292, 799–803 (2015). https://doi.org/10.1007/s00404-015-3715-0

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    • DOI: https://doi.org/10.1007/s00404-015-3715-0

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