Article: Previous preterm cesarean delivery: Identification of a new risk factor for uterine rupture in VBAC candidates

Abstract

Objective. A major risk of trials of labor in patients with prior cesarean delivery is uterine rupture. We evaluated the question of whether a previous cesarean delivery at an early gestational age predisposes the patient to subsequent uterine rupture.

Methods. This was a retrospective chart review of patients delivering at North Shore University Hospital with a trial of labor after previous cesarean delivery to ascertain all cases of uterine rupture. Patients who had had a previous cesarean delivery at our institution who did not suffer uterine rupture during a trial of labor served as controls.

Results. Twenty-five patients suffered a uterine rupture. The incidence of prior ...

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