Uterine rupture without previous caesarean delivery: a population-based cohort study

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Uterine rupture without previous caesarean delivery : a population-based cohort study. / Thisted, Dorthe L. A.; H. Mortensen, Laust; Krebs, Lone.

I: European Journal of Obstetrics & Gynecology and Reproductive Biology, Bind 195, 12.2015, s. 151-155.

Publikation: Bidrag til tidsskriftTidsskriftartikelfagfællebedømt

Harvard

Thisted, DLA, H. Mortensen, L & Krebs, L 2015, 'Uterine rupture without previous caesarean delivery: a population-based cohort study', European Journal of Obstetrics & Gynecology and Reproductive Biology, bind 195, s. 151-155. https://doi.org/10.1016/j.ejogrb.2015.10.013

APA

Thisted, D. L. A., H. Mortensen, L., & Krebs, L. (2015). Uterine rupture without previous caesarean delivery: a population-based cohort study. European Journal of Obstetrics & Gynecology and Reproductive Biology, 195, 151-155. https://doi.org/10.1016/j.ejogrb.2015.10.013

Vancouver

Thisted DLA, H. Mortensen L, Krebs L. Uterine rupture without previous caesarean delivery: a population-based cohort study. European Journal of Obstetrics & Gynecology and Reproductive Biology. 2015 dec.;195:151-155. https://doi.org/10.1016/j.ejogrb.2015.10.013

Author

Thisted, Dorthe L. A. ; H. Mortensen, Laust ; Krebs, Lone. / Uterine rupture without previous caesarean delivery : a population-based cohort study. I: European Journal of Obstetrics & Gynecology and Reproductive Biology. 2015 ; Bind 195. s. 151-155.

Bibtex

@article{cd037a1671224bb4931bb2925fea0c4e,
title = "Uterine rupture without previous caesarean delivery: a population-based cohort study",
abstract = "OBJECTIVE: To determine incidence and patient characteristics of women with uterine rupture during singleton births at term without a previous caesarean delivery.STUDY DESIGN: Population based cohort study. Women with term singleton birth, no record of previous caesarean delivery and planned vaginal delivery (n=611,803) were identified in the Danish Medical Birth Registry (1997-2008). Medical records from women recorded with uterine rupture during labour were reviewed to ascertain events of complete uterine rupture. Relative Risk (RR) and adjusted Relative Risk Ratio (aRR) of complete uterine rupture with 95% confidence intervals (95% CI) were ascertained according to characteristics of the women and of the delivery.RESULTS: We identified 20 cases with complete uterine rupture. The incidence of complete uterine rupture among women without previous caesarean delivery was about 3.3/100,000 deliveries. Multiparity (RR 8.99 (95% CI 1.86-43.29)), induction of labour (RR 3.26 (95% CI 1.24-8.57)), epidural analgesia (RR 10.78 (95% CI 4.25-27.39)), and augmentation by oxytocin (RR 9.50 (95% CI 3.15-28.63)) were associated with uterine rupture. Induction of labour was not significantly related to uterine rupture when adjusted for parity, epidural analgesia and augmentation by oxytocin.CONCLUSION: Although uterine rupture is rare, its association with epidural analgesia and augmentation of labour with oxytocin in multipara should be considered. Thus, vigilance should be exercised when labour is obstructed and there is need for epidural analgesia and/or augmentation by oxytocin in multiparous women. Due to the rare occurrence of uterine rupture caution should be exerted when interpreting the findings of this study.",
author = "Thisted, {Dorthe L. A.} and {H. Mortensen}, Laust and Lone Krebs",
note = "Copyright {\textcopyright} 2015 Elsevier Ireland Ltd. All rights reserved.",
year = "2015",
month = dec,
doi = "10.1016/j.ejogrb.2015.10.013",
language = "English",
volume = "195",
pages = "151--155",
journal = "European Journal of Obstetrics, Gynecology and Reproductive Biology",
issn = "0301-2115",
publisher = "Elsevier Ireland Ltd",

}

RIS

TY - JOUR

T1 - Uterine rupture without previous caesarean delivery

T2 - a population-based cohort study

AU - Thisted, Dorthe L. A.

AU - H. Mortensen, Laust

AU - Krebs, Lone

N1 - Copyright © 2015 Elsevier Ireland Ltd. All rights reserved.

PY - 2015/12

Y1 - 2015/12

N2 - OBJECTIVE: To determine incidence and patient characteristics of women with uterine rupture during singleton births at term without a previous caesarean delivery.STUDY DESIGN: Population based cohort study. Women with term singleton birth, no record of previous caesarean delivery and planned vaginal delivery (n=611,803) were identified in the Danish Medical Birth Registry (1997-2008). Medical records from women recorded with uterine rupture during labour were reviewed to ascertain events of complete uterine rupture. Relative Risk (RR) and adjusted Relative Risk Ratio (aRR) of complete uterine rupture with 95% confidence intervals (95% CI) were ascertained according to characteristics of the women and of the delivery.RESULTS: We identified 20 cases with complete uterine rupture. The incidence of complete uterine rupture among women without previous caesarean delivery was about 3.3/100,000 deliveries. Multiparity (RR 8.99 (95% CI 1.86-43.29)), induction of labour (RR 3.26 (95% CI 1.24-8.57)), epidural analgesia (RR 10.78 (95% CI 4.25-27.39)), and augmentation by oxytocin (RR 9.50 (95% CI 3.15-28.63)) were associated with uterine rupture. Induction of labour was not significantly related to uterine rupture when adjusted for parity, epidural analgesia and augmentation by oxytocin.CONCLUSION: Although uterine rupture is rare, its association with epidural analgesia and augmentation of labour with oxytocin in multipara should be considered. Thus, vigilance should be exercised when labour is obstructed and there is need for epidural analgesia and/or augmentation by oxytocin in multiparous women. Due to the rare occurrence of uterine rupture caution should be exerted when interpreting the findings of this study.

AB - OBJECTIVE: To determine incidence and patient characteristics of women with uterine rupture during singleton births at term without a previous caesarean delivery.STUDY DESIGN: Population based cohort study. Women with term singleton birth, no record of previous caesarean delivery and planned vaginal delivery (n=611,803) were identified in the Danish Medical Birth Registry (1997-2008). Medical records from women recorded with uterine rupture during labour were reviewed to ascertain events of complete uterine rupture. Relative Risk (RR) and adjusted Relative Risk Ratio (aRR) of complete uterine rupture with 95% confidence intervals (95% CI) were ascertained according to characteristics of the women and of the delivery.RESULTS: We identified 20 cases with complete uterine rupture. The incidence of complete uterine rupture among women without previous caesarean delivery was about 3.3/100,000 deliveries. Multiparity (RR 8.99 (95% CI 1.86-43.29)), induction of labour (RR 3.26 (95% CI 1.24-8.57)), epidural analgesia (RR 10.78 (95% CI 4.25-27.39)), and augmentation by oxytocin (RR 9.50 (95% CI 3.15-28.63)) were associated with uterine rupture. Induction of labour was not significantly related to uterine rupture when adjusted for parity, epidural analgesia and augmentation by oxytocin.CONCLUSION: Although uterine rupture is rare, its association with epidural analgesia and augmentation of labour with oxytocin in multipara should be considered. Thus, vigilance should be exercised when labour is obstructed and there is need for epidural analgesia and/or augmentation by oxytocin in multiparous women. Due to the rare occurrence of uterine rupture caution should be exerted when interpreting the findings of this study.

U2 - 10.1016/j.ejogrb.2015.10.013

DO - 10.1016/j.ejogrb.2015.10.013

M3 - Journal article

C2 - 26544026

VL - 195

SP - 151

EP - 155

JO - European Journal of Obstetrics, Gynecology and Reproductive Biology

JF - European Journal of Obstetrics, Gynecology and Reproductive Biology

SN - 0301-2115

ER -

ID: 162713313