Uterine Rupture During Labor Among Women With a Prior Cesarean Delivery

University Hospital, Montpellier95 enrolled

Overview

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.

Study Type

OBSERVATIONAL

Enrollment

Conditions

Uterine Rupture Mode of Delivery

Interventions

Risks factors, maternal and neonatal outcomes/complicationsOTHER

Risks factors, maternal and neonatal outcomes/complications

Eligibility

Sex: FEMALEMin age: 18 Years

Medical Language ↔ Plain English

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)

Outcomes

Primary Outcomes

Assess the risks factors of uterine rupture

Assess the risks factors of uterine rupture Assess the risks factors of uterine rupture using obstetric measures

Time frame: 1 day

Secondary Outcomes

Number of Participants with Assess the maternal and perinatal complications and outcomes

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)