Prelabour uterine rupture: characteristics and outcomes

医学 子宫破裂 子宫切除术 产科 人口 刮除术 病历 妇科 外科 子宫 环境卫生 内科学
作者
Iqbal Al‐Zirqi,Siri Vangen
出处
期刊:Bjog: An International Journal Of Obstetrics And Gynaecology [Wiley]
卷期号:127 (13): 1637-1644 被引量:29
标识
DOI:10.1111/1471-0528.16363
摘要

Objective To describe the characteristics and outcomes of prelabour uterine ruptures. Design Descriptive study based on population data from the Medical Birth Registry of Norway, the Patient Administration System and medical records. Sample Maternities with uterine rupture before start of labour in Norway during the period 1967–2008 (8 complete ruptures among 2 334 712 women with unscarred uteri, and 22 complete and 45 partial ruptures among 121 085 women with scarred uteri). Method We measured the rate of perinatal deaths and peripartum hysterectomy following ruptures. In addition, we studied the characteristics of ruptures. Results The eight complete ruptures in women with unscarred uteri were associated with trauma from traffic accidents ( n = 3; 37.5%), previous curettage ( n = 3; 37.5%) and congenital uterine malformations ( n = 2; 25%), resulting in seven perinatal deaths and two hysterectomies. The 22 complete ruptures in scarred uteri were mostly outside the lower uterine segment ( n = 17; 72.7%). Abnormally invasive placenta (AIP) and previous rupture were present in four (18.2%) and three women (13.6%), respectively. They resulted in nine perinatal deaths (39.1%) and two hysterectomies (9.1%). The 45 partial ruptures involved mostly scars in the lower uterine segment ( n = 39; 86.7%). None of them resulted in perinatal death or hysterectomy. Perinatal deaths have decreased dramatically in recent years, despite increasing prelabour rupture rates. Conclusion Although complete uterine ruptures before labour start were rare, they often resulted in catastrophic outcomes, such as perinatal death. Scars outside the lower segment were associated with a higher percentage of catastrophic prelabour ruptures compared with scars in the lower segment (Video S1 ). Tweetable abstract Complete prelabour uterine ruptures were rare, but resulted in high perinatal deaths, especially if they were in scars outside the lower segment.
最长约 10秒,即可获得该文献文件

科研通智能强力驱动
Strongly Powered by AbleSci AI
更新
PDF的下载单位、IP信息已删除 (2025-6-4)

科研通是完全免费的文献互助平台,具备全网最快的应助速度,最高的求助完成率。 对每一个文献求助,科研通都将尽心尽力,给求助人一个满意的交代。
实时播报
111发布了新的文献求助10
1秒前
1秒前
2秒前
Jasper应助眠茶醒药采纳,获得10
2秒前
4秒前
5秒前
轻轻发布了新的文献求助10
5秒前
四叶曦完成签到 ,获得积分10
5秒前
千寻完成签到 ,获得积分10
6秒前
ASXC完成签到,获得积分20
8秒前
ecoli发布了新的文献求助10
10秒前
慕青应助徐徐采纳,获得10
12秒前
还单身的竺完成签到 ,获得积分10
12秒前
13秒前
搜集达人应助Led采纳,获得10
15秒前
徐5V完成签到,获得积分10
16秒前
孙尉钦完成签到,获得积分10
18秒前
要减肥发布了新的文献求助10
19秒前
调调发布了新的文献求助10
19秒前
nki发布了新的文献求助10
21秒前
23秒前
丸子完成签到,获得积分10
24秒前
打打应助正直摇伽采纳,获得10
24秒前
111完成签到,获得积分10
25秒前
whh完成签到,获得积分10
26秒前
Advance.Cheng发布了新的文献求助10
26秒前
友好聋五完成签到,获得积分10
27秒前
量子星尘发布了新的文献求助10
27秒前
卡卡西应助调调采纳,获得30
28秒前
小满完成签到,获得积分10
29秒前
黄憨憨发布了新的文献求助10
29秒前
爆米花应助松思采纳,获得30
30秒前
32秒前
要减肥完成签到 ,获得积分20
32秒前
yx_cheng应助andrele采纳,获得30
33秒前
34秒前
刘潮汕完成签到,获得积分20
35秒前
Lucas应助自由的凛采纳,获得10
36秒前
徐徐发布了新的文献求助10
36秒前
39秒前
高分求助中
A new approach to the extrapolation of accelerated life test data 1000
Picture Books with Same-sex Parented Families: Unintentional Censorship 700
ACSM’s Guidelines for Exercise Testing and Prescription, 12th edition 500
Nucleophilic substitution in azasydnone-modified dinitroanisoles 500
不知道标题是什么 500
Indomethacinのヒトにおける経皮吸収 400
Phylogenetic study of the order Polydesmida (Myriapoda: Diplopoda) 370
热门求助领域 (近24小时)
化学 材料科学 医学 生物 工程类 有机化学 生物化学 物理 内科学 纳米技术 计算机科学 化学工程 复合材料 遗传学 基因 物理化学 催化作用 冶金 细胞生物学 免疫学
热门帖子
关注 科研通微信公众号,转发送积分 3976253
求助须知:如何正确求助?哪些是违规求助? 3520405
关于积分的说明 11203301
捐赠科研通 3257028
什么是DOI,文献DOI怎么找? 1798589
邀请新用户注册赠送积分活动 877755
科研通“疑难数据库(出版商)”最低求助积分说明 806521