Uterine Rupture and Labour After a Previous Low Transverse Caesarean Section

BJOG. 2006 Jun;113(6):729-32. doi: 10.1111/j.1471-0528.2006.00940.x.

Abstract

This study reviewed all cases of complete uterine rupture (UR) in pregnancy during the decade 1993-2002. In 69,412 deliveries, 5,320 women had a single prior caesarean section. Of these, 4,021 had a trial of labour and 3,129 (77.8%) delivered vaginally. In nine (0.22%) cases, the previous transverse scar ruptured during labour. None of these nine ruptures resulted in maternal or fetal death, peripartum hysterectomy or fetal morbidity. In our practice, a trial of labour in women with a previous low transverse caesarean is associated with a high rate of vaginal delivery and a low rate of UR.

MeSH terms

  • Cesarean Section / adverse effects*
  • Cesarean Section / statistics & numerical data
  • Cicatrix / complications
  • Female
  • Humans
  • Incidence
  • Ireland / epidemiology
  • Obstetric Labor Complications / epidemiology
  • Obstetric Labor Complications / etiology*
  • Pregnancy
  • Pregnancy Outcome
  • Trial of Labor
  • Uterine Rupture / epidemiology
  • Uterine Rupture / etiology*
  • Vaginal Birth after Cesarean / adverse effects*
  • Vaginal Birth after Cesarean / statistics & numerical data