Outcomes of Uterine Rupture in the Setting of the Unscarred Compared With the Scarred Uterus. Issue 4 (9th April 2023)

• Record Type: Journal Article
• Authors: McEvoy, Aoife; Corbett, Gillian A.; Nolan, Ciara; Daly, Ronan; Murnane, Megan; Higgins, Shane; Malone, Fergal D.; O'Connell, Michael P.; Hehir, Mark P.; Walsh, Jennifer M.
• Is Part Of: Obstetrics and gynecology. Volume 141:Issue 4(2023)
• Page Start: 854
• Page End: 856
• Publication Date: 2023-04-09
• Subjects: Obstetrics -- Periodicals; Gynecology -- Periodicals; 618
• DOI: 10.1097/AOG.0000000000005108
• Languages: English
• ISSNs: 0029-7844

Abstract

Abstract : When comparing unscarred with scarred uterine rupture, there were no major differences in perinatal outcome, but maternal morbidity was significantly higher in unscarred uterine rupture. Abstract : Uterine rupture is a rare obstetric complication that is associated with maternal and neonatal morbidity and mortality. The aim of this study was to examine uterine rupture and its outcomes in the setting of the unscarred compared with the scarred uterus. A retrospective observational cohort study was performed examining all cases of uterine rupture in three tertiary care hospitals in Dublin, Ireland, over a 20-year period. The primary outcome was perinatal mortality rate with uterine rupture, which was 11.02% (95% CI 6.5–17.3). There was no significant difference in perinatal mortality between cases of scarred and unscarred uterine rupture. Unscarred uterine rupture was associated with higher maternal morbidity, defined as major obstetric hemorrhage or hysterectomy.