The risk of uterine rupture is not increased with single- compared with double-layer closure: a Swedish cohort study.
BJOG
; 122(11): 1535-41, 2015 Oct.
Article
en En
| MEDLINE
| ID: mdl-25088680
ABSTRACT
OBJECTIVE:
To compare single- with double-layer closure of the uterus for the risk of uterine rupture in women attempting vaginal birth after one prior caesarean delivery.DESIGN:
Cohort study.SETTING:
Sweden. POPULATION From a total of 19 604 nulliparous women delivered by caesarean section in the years 2001-2007, 7683 women attempting vaginal birth in their second delivery were analysed.METHODS:
Data from population-based registers were linked to hospital-based registers that held data from maternity and delivery records. Logistic regression was used to estimate the risk of uterine rupture after single- or double-layer closure of the uterus. Results are presented as odds ratios (ORs) with 95% confidence intervals (95% CIs). MAIN OUTCOMEMEASURE:
Uterine rupture.RESULTS:
Uterine rupture during labour occurred in 103 (1.3%) women. There was no increased risk of uterine rupture when single- was compared with double-layer closure of the uterus (OR 1.17; 95% CI 0.78-1.76). Maternal factors associated with uterine rupture were age ≥35 years and height ≤160 cm. Factors from the first delivery associated with uterine rupture in a subsequent delivery were infection and giving birth to an infant large for gestational age. Risk factors from the second delivery were induction of labour, use of epidural analgesia, and a birthweight of ≥4500 g.CONCLUSIONS:
There was no significant difference in the rate of uterine rupture when single-layer closure was compared with double -layer closure of the uterus.Palabras clave
Texto completo:
1
Banco de datos:
MEDLINE
Asunto principal:
Rotura Uterina
/
Útero
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Parto Vaginal Después de Cesárea
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Técnicas de Sutura
Tipo de estudio:
Etiology_studies
/
Incidence_studies
/
Observational_studies
/
Risk_factors_studies
Límite:
Female
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Humans
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Newborn
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Pregnancy
País como asunto:
Europa
Idioma:
En
Año:
2015
Tipo del documento:
Article