Prediction of uterine rupture associated with attempted vaginal birth after cesarean delivery

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Vaginal birth after cesarean delivery.

MANAGEMENT of labor after previous cesarean delivery continues to be a controversial area of obstetric practice. Neither repeat cesarean delivery nor a trial of labor are without risk. Currently, cesarean delivery is the most commonly performed operation, and repeat cesarean delivery is the most common indication. Although the prevalence of vaginal birth after cesarean delivery (VBAC) increased...

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Risk of uterine rupture among women attempting vaginal birth after cesarean with an unknown uterine scar.

OBJECTIVE The purpose of this study was to estimate the association of uterine rupture and previous incision type, either unknown or low transverse, among women who attempt a trial of labor after 1 previous cesarean delivery. STUDY DESIGN We conducted a secondary analysis of a prospective multicenter observational study of 15,519 women with term singletons who attempted a trial of labor after...

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Simultaneous uterine and urinary bladder rupture in an otherwise successful vaginal birth after cesarean delivery.

Uterine rupture is the primary concern when a patient chooses a trial of labor after a cesarean section. Bladder rupture accompanied by uterine rupture should be taken into consideration if gross hematuria occurs. We report the case of a patient with uterine rupture during a trial of labor after cesarean delivery. She had a normal course of labor and no classic signs of uterine rupture. However...

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Predicting Cesarean Section and Uterine Rupture among Women Attempting Vaginal Birth after Prior Cesarean Section

BACKGROUND There is currently no validated method for antepartum prediction of the risk of failed vaginal birth after cesarean section and no information on the relationship between the risk of emergency cesarean delivery and the risk of uterine rupture. METHODS AND FINDINGS We linked a national maternity hospital discharge database and a national registry of perinatal deaths. We studied 23,2...

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Vaginal Birth After Previous Cesarean Delivery

Between 1970 and 2007, the cesarean delivery rate in the United States increased dramatically from 5% to more than 31% (6, 7). This increase was a result of several changes in the practice environment, including the introduction of electronic fetal monitoring and the decrease in use of vaginal breech deliveries and forceps deliveries (8–10). The increase in cesarean delivery rates was partly pe...

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ژورنال

عنوان ژورنال: American Journal of Obstetrics and Gynecology

سال: 2008

ISSN: 0002-9378

DOI: 10.1016/j.ajog.2008.03.039