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Article: Uterine rupture and dehiscence: Ten-year review and case-control study.
- Article from:
- Southern Medical Journal
- Article date:
- April 1, 2002
- Author:
CopyrightCOPYRIGHT 2002 Southern Medical Association. This material is published under license from the publisher through the Gale Group, Farmington Hills, Michigan. All inquiries regarding rights should be directed to the Gale Group. (Hide copyright information)
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Background. Previous cesarean section, oxytocin administration, and fetal macrosomia increase the risk of uterine rupture or dehiscence (URD).
Methods. All 25,718 deliveries at Riverside Regional Medical Center from January 1990 to June 2000 were reviewed to describe complications and identify risk factors for URD.
Results. Eleven uterine ruptures and 10 dehiscences occurred during this period (0.08%). One maternal death (5%) and three neonatal deaths (14%) occurred. Other complications included intrapartum nonreassuring fetal status (67%), 5-minute Apgar score
Conclusions. To reduce the risk of URD, a delivery plan should include assessment of ...