Three quarters of uterine rupture is not linked with C/S or induction.
While women with uterine scarring, usually from a previous cesarean, and those given uterotonic agents to induce labor are known to be at higher risk for uterine rupture during pregnancy, a full 13% of ruptures involve unscarred uteri and almost three-quarters (72%) occur during spontaneous labor, according to a population-based cohort study from the Netherlands.
Researchers followed all 98 maternity units in the Netherlands from August 2004 to August 2006. They counted 210 cases of uterine rupture during the 2-year period. Of these, 87.1% or 183 occurred in women with a scarred uterus. They calculated incidences of 5.1 and 0.8 per 10,000 women with and without uterine scars, respectively. Overall absolute risk was 1 in 1,709.
In addition to a prior cesarean section and induction of labor, the researchers found other risk factors to include the use of epidural anesthesia, a pre- or post-term pregnancy, being overweight or of a non-Western ethnic background, and advanced maternal age.
Prenatal cannabis and nicotine use linked to adverse pregnancy outcomes
May 14th 2024A recent study highlights the heightened risks of maternal and neonatal morbidity and mortality associated with combined cannabis and nicotine use during pregnancy, urging further investigation into their impact on short- and long-term outcomes.
Read More
Mail-order dispensing of mifepristone for medication abortion found effective
May 13th 2024A recent study revealed that mail-order pharmacy dispensing of mifepristone for medication abortion proves effective and satisfactory, highlighting a potential avenue for expanding access to reproductive healthcare.
Read More