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Predictors of Uterine Rupture After One Previous Cesarean Section: An Unmatched Case–Control Study
BACKGROUND: Uterine rupture is a rare occurrence but has catastrophic complications during pregnancy. The incidence is relatively higher in scarred uteri because there is a promotion of labor after cesarean section. There is a scarcity of evidence from low-income countries regarding the predictors o...
Autores principales: | , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Dove
2023
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10560464/ https://www.ncbi.nlm.nih.gov/pubmed/37814706 http://dx.doi.org/10.2147/IJWH.S427749 |
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author | Arusi, Temesgen Tantu Zewdu Assefa, Dereje Gutulo, Muluken Gunta Gensa Geta, Teshome |
author_facet | Arusi, Temesgen Tantu Zewdu Assefa, Dereje Gutulo, Muluken Gunta Gensa Geta, Teshome |
author_sort | Arusi, Temesgen Tantu |
collection | PubMed |
description | BACKGROUND: Uterine rupture is a rare occurrence but has catastrophic complications during pregnancy. The incidence is relatively higher in scarred uteri because there is a promotion of labor after cesarean section. There is a scarcity of evidence from low-income countries regarding the predictors of uterine rupture after trial labor. OBJECTIVE: To assess factors determining uterine rupture during labor after the previous cesarean section among mothers delivered at Hawassa University Comprehensive Specialized Hospital from September 2017 to September 2022. METHODS: A facility-based unmatched case–control study was done by reviewing 105 patients, which included 35 cases and 70 controls in a 1:2 case-to-control ratio. The association between dependent and independent variables was sought with running binary and multivariate analyses by using the cut point of a p value < 0.05 and 95% CI. RESULTS: The prevalence of uterine rupture is 1.6%. The factors significantly associated with uterine rupture after trial of labor are fetal weight >3.8 kg (AOR: 5.21), antenatal care 4 (AOR: 3.6), labor duration >15 hours (AOR: 10.7), and previous successful vaginal delivery (AOR: 3.4). Poor fetal-maternal outcomes like 91.4% fetal death, 29 hysterectomies, 22 blood transfusions, and 1 death. CONCLUSION: The prevalence is relatively higher than in developed countries. The number of antenatal care, labor duration, and lower fetal weight are not common findings associated with uterine rupture after trial of labor across the literature, so large-scale studies are needed to develop guidelines for the Ethiopian setup. Improving the quality of obstetrics care given in each level of health system. |
format | Online Article Text |
id | pubmed-10560464 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2023 |
publisher | Dove |
record_format | MEDLINE/PubMed |
spelling | pubmed-105604642023-10-09 Predictors of Uterine Rupture After One Previous Cesarean Section: An Unmatched Case–Control Study Arusi, Temesgen Tantu Zewdu Assefa, Dereje Gutulo, Muluken Gunta Gensa Geta, Teshome Int J Womens Health Original Research BACKGROUND: Uterine rupture is a rare occurrence but has catastrophic complications during pregnancy. The incidence is relatively higher in scarred uteri because there is a promotion of labor after cesarean section. There is a scarcity of evidence from low-income countries regarding the predictors of uterine rupture after trial labor. OBJECTIVE: To assess factors determining uterine rupture during labor after the previous cesarean section among mothers delivered at Hawassa University Comprehensive Specialized Hospital from September 2017 to September 2022. METHODS: A facility-based unmatched case–control study was done by reviewing 105 patients, which included 35 cases and 70 controls in a 1:2 case-to-control ratio. The association between dependent and independent variables was sought with running binary and multivariate analyses by using the cut point of a p value < 0.05 and 95% CI. RESULTS: The prevalence of uterine rupture is 1.6%. The factors significantly associated with uterine rupture after trial of labor are fetal weight >3.8 kg (AOR: 5.21), antenatal care 4 (AOR: 3.6), labor duration >15 hours (AOR: 10.7), and previous successful vaginal delivery (AOR: 3.4). Poor fetal-maternal outcomes like 91.4% fetal death, 29 hysterectomies, 22 blood transfusions, and 1 death. CONCLUSION: The prevalence is relatively higher than in developed countries. The number of antenatal care, labor duration, and lower fetal weight are not common findings associated with uterine rupture after trial of labor across the literature, so large-scale studies are needed to develop guidelines for the Ethiopian setup. Improving the quality of obstetrics care given in each level of health system. Dove 2023-10-04 /pmc/articles/PMC10560464/ /pubmed/37814706 http://dx.doi.org/10.2147/IJWH.S427749 Text en © 2023 Arusi et al. https://creativecommons.org/licenses/by-nc/3.0/This work is published and licensed by Dove Medical Press Limited. The full terms of this license are available at https://www.dovepress.com/terms.php and incorporate the Creative Commons Attribution – Non Commercial (unported, v3.0) License (http://creativecommons.org/licenses/by-nc/3.0/ (https://creativecommons.org/licenses/by-nc/3.0/) ). By accessing the work you hereby accept the Terms. Non-commercial uses of the work are permitted without any further permission from Dove Medical Press Limited, provided the work is properly attributed. For permission for commercial use of this work, please see paragraphs 4.2 and 5 of our Terms (https://www.dovepress.com/terms.php). |
spellingShingle | Original Research Arusi, Temesgen Tantu Zewdu Assefa, Dereje Gutulo, Muluken Gunta Gensa Geta, Teshome Predictors of Uterine Rupture After One Previous Cesarean Section: An Unmatched Case–Control Study |
title | Predictors of Uterine Rupture After One Previous Cesarean Section: An Unmatched Case–Control Study |
title_full | Predictors of Uterine Rupture After One Previous Cesarean Section: An Unmatched Case–Control Study |
title_fullStr | Predictors of Uterine Rupture After One Previous Cesarean Section: An Unmatched Case–Control Study |
title_full_unstemmed | Predictors of Uterine Rupture After One Previous Cesarean Section: An Unmatched Case–Control Study |
title_short | Predictors of Uterine Rupture After One Previous Cesarean Section: An Unmatched Case–Control Study |
title_sort | predictors of uterine rupture after one previous cesarean section: an unmatched case–control study |
topic | Original Research |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10560464/ https://www.ncbi.nlm.nih.gov/pubmed/37814706 http://dx.doi.org/10.2147/IJWH.S427749 |
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