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Previous early c-section ups future rupture risk.(News)
MIAMI BEACH -- Women with a history of preterm cesarean delivery are twice as likely to experience uterine rupture during a subsequent vaginal delivery, compared with women who have a history of operative delivery at term, according to a large study.
However, the absolute increased risk of 1% may be acceptable to some women who are considering a trial of labor after a previous cesarean section, Dr. Anthony Sciscione said at the annual meeting of the Society for Maternal-Fetal Medicine.
"The 1% may be too high for some women but acceptable to others." Dr. Sciscione, chief of obstetrics at Crozer-Chester Medical Center in Upland, Pa., and his associates compared 5,839 women with a history of preterm cesarean delivery to 35,528 with a history of term cesarean delivery.
They found the preterm group twice as likely to experience uterine rupture on a subsequent vaginal delivery, compared with the term group (odds ratio 2.05).
The risk was still increased when the researchers controlled for emergency cesarean deliveries (OR 1.73).
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Source: HighBeam Research, Previous early c-section ups future rupture risk.(News)