Uterine Rupture

Chapter

Abstract

Uterine rupture may be defined as a disruption of the uterine muscle extending to and involving the uterine serosa or disruption of the uterine muscle with extension to the bladder or broad ligament [1]. Uterine dehiscence is defined as disruption of the uterine muscle with intact uterine serosa [1]. Uterine rupture is associated with severe maternal and perinatal morbidity and mortality, and it remains one of the most catastrophic obstetrical emergencies. It has consequences not only for the index pregnancy but also, if it is possible to conserve the uterus, for further fertility and pregnancy outcomes. In the developed world, most cases occur in women with a uterine scar [2–4]. In less and least developed countries, cephalopelvic disproportion causing obstructed labor is the major cause of uterine rupture [5–7]. The prevalence of uterine rupture is likely to increase in the developed world reflecting increasing rates of cesarean section, and it continues to contribute significantly to maternal mortality among women giving birth in the developing world.

Keywords

Obesity Prostaglandin Turkey Infertility Nigeria 

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Copyright information

© Springer Science+Business Media, LLC 2011

Authors and Affiliations

  1. 1.Department of Obstetrics and GynaecologyTrinity College Dublin and Coombe Women and Infants University HospitalDublin 8Ireland

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