- Patients pregnant after prior uterine rupture should be delivered by cesarean delivery (CD) prior to the onset of labor.
Why this matters
- Uterine rupture is associated with maternal and neonatal morbidity and mortality.
- The rate of recurrence is 0%-33%.
- No maternal or neonatal deaths in this cohort.
- The uterine rupture rate was 0.7%, and the rate of uterine dehiscence was 11.9%.
- 1 incidental uterine rupture was noted at the time of delivery.
- Research letter providing an update to a prior chart review.
- Subsequent pregnancies >24 weeks with a history of uterine dehiscence (n=75) or rupture (n=59) between 2005 and 2019 were identified.
- Morbidity related to history of uterine dehiscence or rupture was abstracted from an electronic medical record.
- Women were delivered by planned CD between 36 weeks and 39 weeks, prior to the onset of labor.
- Funding: None disclosed.
- This is a rare occurrence, and numbers in the study are small.