کد مقاله | کد نشریه | سال انتشار | مقاله انگلیسی | نسخه تمام متن |
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3921747 | 1599897 | 2006 | 5 صفحه PDF | دانلود رایگان |
ObjectiveTo determine maternal and perinatal morbidity and mortality after uterine rupture in the Netherlands.Study DesignAll 100 Dutch obstetric departments were asked to participate in a prospective nationwide registration of uterine rupture between 1st April 2002 and 1st April 2003. For every case, a questionnaire about obstetrical history, current pregnancy and delivery, maternal and neonatal outcome was completed.ResultsEighty-nine percent of all hospitals in the Netherlands participated. Ninety-eight uterine ruptures were registered; 95 after a previous caesarean section (CS) of which 91 occurred during a trial of labour. The fetus was extruded in the abdominal cavity completely in 18 cases and partially in 13 cases. Major complications due to uterine rupture were: perinatal death (n = 11, from 94 cases with a viable fetus, 11.7%) and hysterectomy (n = 4, 4.1%).ConclusionThese severe complications, perinatal death and hysterectomy, have to be an issue when counselling women on an elective CS and women with a history of a CS on the route of delivery.
Journal: European Journal of Obstetrics & Gynecology and Reproductive Biology - Volume 128, Issues 1–2, September–October 2006, Pages 257–261