Uterine Rupture During a Trial of Labor After Previous Cesarean Delivery

• Autores: Carolyn Zelop
• Localización: Clinics in Perinatology, ISSN 0095-5108, Vol. 38, Nº. 2, 2011, págs. 277-284
• Idioma: inglés
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• Resumen

  • Uterine rupture, which involves complete separation of the uterine wall, occurs in about 1% of those attempting vaginal birth after cesarean. Because uterine rupture is one of the most significant complications of a trial of labor (TOL) after previous cesarean, identifying those at increased risk of uterine rupture is paramount to the safety of a TOL after previous cesarean birth. It seems that both antepartum demographic characteristics and intrapartum factors modify the risk of uterine rupture. The ability to reliably predict an individual's a priori risk for intrapartum uterine rupture remains a major area of investigation.