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Intrapartum Predictors of Uterine Rupture

descriptionPublicationkeyboard_double_arrow_right Article 01 May 2007 English Publisher:Georg Thieme Verlag KGJournal:American Journal of Perinatology, volume 24, pages 317-321 (issn: 0735-1631, eissn: 1098-8785,

Authors: Heather L. Mertz; David C. Merrill; Elizabeth Craver Pryor; Gretchen Koontz; Brittian W Beaver; Jennifer G. Smith; Anibal Martinez-Borges;

doi: 10.1055/s-2007-981433

pmid: 17516310

Intrapartum Predictors of Uterine Rupture

- Summary
- Subjects
- Metrics

Abstract

This case-controlled study reviewed 26 cases of uterine rupture at an academic medical center. Controls were selected in a 2:1 design by reviewing the immediate successful vaginal birth after cesarean delivery (VBAC) before and after each case of uterine rupture. At less than 2 hours before delivery or acute uterine rupture, mild and severe variable decelerations, persistent abdominal pain, and hyperstimulation were more common in cases of uterine rupture as compared to controls and had statistically significant positive likelihood ratios (LR). Mild and severe variable fetal heart rate decelerations, especially in the presence of persistent abdominal pain, may predict uterine rupture in patients attempting VBAC.

Related Organizations

Wake Forest University
United States

Keywords

Adult, Academic Medical Centers, Pregnancy Outcome, Heart Rate, Fetal, Vaginal Birth after Cesarean, Medical Records, Uterine Rupture, Pregnancy, Risk Factors, Case-Control Studies, Prenatal Diagnosis, North Carolina, Humans, Female, Retrospective Studies

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	citations This is an alternative to the "Influence" indicator, which also reflects the overall/total impact of an article in the research community at large, based on the underlying citation network (diachronically).	25
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