Abstract
Objective
To review the pregnancy outcome in women with previous complete uterine rupture.
Methods
Hospital records of uterine rupture were reviewed from January 1981 to June 2010. All files of these patients were reviewed and patients were contacted by telephone calls to inquire about any further pregnancies after the uterine rupture.
Results
Out of 69,452 deliveries, there were a total of 27 cases of uterine rupture. There were 20 pregnancies after repair of complete uterine rupture and 10 of them resulted in live babies, all delivered by cesarean section. Eight pregnancies ended as first-trimeter miscarriages. One pregnancy resulted in preterm vaginal delivery at 24 weeks. There was only one repeat uterine rupture. There were no cases of cesarean hysterectomy. Four women agreed to undergo tubal ligation after the last delivery and two used other contraceptive methods. Two women were being followed for secondary infertility.
Conclusion
Pregnancy after uterine rupture is associated with relatively good maternal and neonatal outcome when followed in a tertiary center.
This is a preview of subscription content, log in via an institution to check access.
Similar content being viewed by others
References
Ritchie EH (1971) Pregnancy after rupture of the pregnant uterus. A report of 36 pregnancies and a study of cases reported since 1932. J Obstet Gynaecol Br Commonw 78:642–648
Lim AC, Kwee A, Bruinse HW (2005) Pregnancy after uterine rupture: a report of 5 cases and a review of the literature. Obstet Gynecol Surv 60(9):613–617
WHO systematic review of maternal mortality and morbidity (2005) The prevalence of uterine rupture. BJOG 112:1221–1228
Central Department of Statistics and Information. Census 2004. http://www.cdsi.gov.sa/pdf/sharqiyah.pdf
Zwart J, Richters J, Ory F, de Varies J, Bloemenkamp K, van Roosmalen J (2009) Uterine rupture in the Netherlands: a nationwide population-based cohort study. BJOG 116:1069–1080
Ofir K, Sheiner E, Levy A, Katz M, Mazor M (2003) Uterine rupture: risk factors and pregnancy. AJOG 189(4):1042–1046
Bujold E, Jastrow N, Simoneau J et al (2009) Prediction of complete uterine rupture by sonographic evaluation of the lower uterine segment. Am J Obstet Gynecol 201(320):e1–e6
Onyemeh AU, Twomey D (1988) The consecutive management of uterine rupture. Trop J Obstet Gynecol 1:80–81
Mahoney M, Moldenhauer J, Treadwell M (2005) Subsequent pregnancy outcome with prior uterine rupture. Am J Obstet Gynecol 193:S127
Usta IM, Hamdi MA, Nassar AH (2005) A case series of uterine rupture and subsequent pregnancy outcome. Am J Obstet Gynecol 193(6):S121
Usta IM, Hamdi MA, Abu Musa AA, Nassar AH (2007) Pregnancy outcome in patients with previous uterine rupture. Acta Obstet Gynecol Scand 86(2):172–176
Chibber R, El-Saleh E, Al Fadhli R, Al Jassar W, Al Harmi J (2010) Uterine rupture and subsequent pregnancy outcome: how safe is it? A 25-year study. J Matern Fetal Neonatal Med 23(5):421–424
Conflict of interest
The authors certify that no actual or potential conflict of interest in relation to this article exists.
Author information
Authors and Affiliations
Corresponding author
Rights and permissions
About this article
Cite this article
Al Qahtani, N.H., Al Hajeri, F. Pregnancy outcome and fertility after complete uterine rupture: a report of 20 pregnancies and a review of literature. Arch Gynecol Obstet 284, 1123–1126 (2011). https://doi.org/10.1007/s00404-010-1831-4
Received:
Accepted:
Published:
Issue Date:
DOI: https://doi.org/10.1007/s00404-010-1831-4