Article: Counsel Patients on Risk of Uterine Rupture.

SAN FRANCISCO -- Patients who have a history of cesarean section and elect to have a trial of labor should be told to arrive early in labor for evaluation and management in a hospital setting where a uterine rupture can be recognized and managed expediently, according to Dr. Aaron B. Caughey.

Certain risk factors increase the chances of uterine rupture. Dr. Caughey of the department of maternal-fetal medicine at the University of California, San Francisco, reviewed the most significant of these risk factors at a meeting on antepartum and intrapartum management sponsored by the university:

* Type of Hysterotomy. Studies indicate that the classic ...

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