Mode of Delivery, Uterine Rupture
Conditions
Keywords
Risks factors, Uterine rupture after a previous cesarean delivery, Vaginal birth after cesarean, Prior cesarean, Perinatal outcome
Brief summary
Although a rare event, uterine rupture during labour is one of the most serious obstetric complications because of the dramatic maternal-fetal consequences that can result. Identifying the risk factors associated with uterine rupture would enable gynecologists to provide patients with risks of uterine rupture in the event of attempted vaginal delivery. The aim of our study is to determine risks factors for uterine rupture during labour in patients with a previous cesarean delivery who have not given birth since and to assess the occurrence of maternal-fetal comply-cations compared to patients with a previous cesarean delivery without uterine rupture.
Interventions
OTHERRisks factors, maternal and neonatal outcomes/complications
Risks factors, maternal and neonatal outcomes/complications
Sponsors
University Hospital, Montpellier
Study design
Observational model
OTHER
Time perspective
RETROSPECTIVE
Eligibility
Sex/Gender
FEMALE
Age
18 Years to No maximum
Healthy volunteers
No
Inclusion criteria
* Singleton pregnancy \> 24 weeks of gestation * Second or multiparous with a previous cesarean section without vaginal delivery since * Cephalic presentation or completed breech * Uterine rupture during labor
Exclusion criteria
* Incomplete uterine rupture * Multiple gestation * Transverse presentation or complete breech * Vaginal delivery after cesarean * Non-low transverse cesarean section * Placenta praevia * Antepartum intrauterine fetal death * History of uterine surgery (myomectomy)
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Assess the risks factors of uterine rupture | 1 day | Assess the risks factors of uterine rupture Assess the risks factors of uterine rupture using obstetric measures |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Number of Participants with Assess the maternal and perinatal complications and outcomes | 1 day | Number of Participants withAssess the maternal and perinatal complications and outcomes : looking for maternal complications (chorioamnionitis , transfusion, post-partum hemorrhage, surgery for blad-der wound, maternal death,…) and neonatal comply-cations (apgar\<7 at 5minutes, pH \<7,15, neonatal intein-sive care unit and perinatal death) |
Countries
France
Outcome results
None listed