Uterine Rupture During Labor Among Women With a Prior Cesarean Delivery

Uterine Rupture During Labor Among Women With a Prior Cesarean Delivery : Risks Factors, Maternal and Perinatal Outcomes

Although a rare event, uterine rupture during labour is one of the most serious obstetric complications because of the dramatic maternal-fetal consequences that can result.

Identifying the risk factors associated with uterine rupture would enable gynecologists to provide patients with risks of uterine rupture in the event of attempted vaginal delivery.

The aim of our study is to determine risks factors for uterine rupture during labour in patients with a previous cesarean delivery who have not given birth since and to assess the occurrence of maternal-fetal comply-cations compared to patients with a previous cesarean delivery without uterine rupture.

Inclusion criteria:

• Singleton pregnancy > 24 weeks of gestation
• Second or multiparous with a previous cesarean section without vaginal delivery since
• Cephalic presentation or completed breech
• Uterine rupture during labor

Exclusion criteria:

• Incomplete uterine rupture
• Multiple gestation
• Transverse presentation or complete breech
• Vaginal delivery after cesarean
• Non-low transverse cesarean section
• Placenta praevia
• Antepartum intrauterine fetal death
• History of uterine surgery (myomectomy)