What is the percentage of uterine rupture?

Uterine rupture occurs in approximately one of every 67 to 500 women (with one prior low-transverse incision) undergoing a trial of labor for vaginal birth after cesarean section. Rupture poses serious risks to mother and infant.

Who is at risk of uterine rupture?

‌‌Uterine rupture is most common among pregnant women who previously delivered a baby via a cesarean section. When you undergo a cesarean section, your doctor cuts open your uterus to deliver your baby. A uterine rupture is most likely to occur along the scar line of previous cesarean deliveries.

Does Pitocin increase risk of uterine rupture?

Uterine rupture and HIE Physicians should be especially cautious when it comes to using Pitocin in women who are having a vaginal birth after cesarean (VBAC) because they have a higher risk of uterine rupture (2).

Which portion of the uterus is most likely to rupture during childbirth?

Generally, uterine rupture refers to a complete separation of all uterine layers, including the uterine serosa, and this usually occurs most commonly in the setting of classical cesarean section [1]. Classical cesarean delivery entails a vertical incision involving the upper contractile portion of the uterus.

What is the most common cause of uterine rupture?

Persistence for vaginal delivery after cesarean was the most common cause of uterine rupture (31.1%). Ablatio placenta was the most common co-existent obstetric pathology (4.9%). Bleeding was the main symptom at presentation (44.3%) and complete type of uterine rupture (93.4%) was more likely to occur.

Can you have a baby after uterine rupture?

Following uterine rupture or dehiscence, it is common to advise women to avoid future pregnancies. However, some women become pregnant again, either accidentally or deliberately.

What are the signs of uterine rupture?

Symptoms and signs of uterine rupture include fetal bradycardia, variable decelerations, evidence of hypovolemia, loss of fetal station (detected during cervical examination), and severe or constant abdominal pain.

When is uterine rupture most likely to occur?

Most uterine ruptures occur when the uterus is gravid in the setting of a trial of labor after cesarean delivery. Clinicians must remain vigilant for signs and symptoms of uterine rupture as it is associated with serious morbidity and mortality for both the mother and fetus.

Can Pitocin cause brain damage?

If used improperly, Pitocin can cause overly-strong contractions that can end up depriving a baby of oxygen, which can lead to brain damage and cerebral palsy.

Why is Pitocin bad?

Risks of Pitocin include contractions that are too close together and that don’t give the uterus a chance to relax and recover, which can result in fetal distress. Maternal risks of the medication are water intoxication, pulmonary edema and abnormal sodium levels.

How many C sections can a woman have?

“So, every patient is different and every case is unique. However, from the current medical evidence, most medical authorities do state that if multiple C-sections are planned, the expert recommendation is to adhere to the maximum number of three.”

How is uterine rupture treated?

Treatment of uterine rupture is immediate laparotomy with cesarean delivery and, if necessary, hysterectomy.

Who is at highest risk for uterine rupture?

For women with one prior cesarean delivery, the risk of uterine rupture is higher among those whose labor is induced than among those with repeated cesarean delivery without labor. Labor induced with a prostaglandin confers the highest risk.

What happens to a baby with a ruptured uterus?

Birth Injuries From Uterine Rupture. Fetal death from asphyxia is a serious threat. Approximately 6% of all babies will not survive a uterine rupture. Serious brain injuries such as hypoxic-ischemic encephalopathy (HIE) and cerebral palsy are often the result of any delay in responding to uterine rupture.

Can a caesarean section cause a uterine rupture?

A rupture is more likely if there is scar tissue in the uterus. Scarring in the uterus can be caused by a caesarean section and some types of abdominal surgery. Most uterine ruptures occur in women who have had a previous caesarean section.

Can a vertical uterine incision cause uterine rupture?

Because a prior vertical uterine cesarean incision may also affect a woman’s risk of uterine rupture, we conducted an analysis limited to the 19,822 women (98.6 percent) without a vertical cesarean uterine incision at the first delivery.